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DR. JAY LESLIE BORGHOLTHAUS OD
NPI 1952353716
Optometrist in Pocatello, ID

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
301 S 4TH AVE # C-2, POCATELLO, ID 83201(208) 637-0841(208) 237-6922 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 22, 2016, Jun 15, 2016 (2 updates tracked since 2016).

About Dr. Jay Leslie Borgholthaus Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAY LESLIE BORGHOLTHAUS OD (NPI 1952353716) is an individual optometrist in Pocatello, Idaho, licensed in Idaho (ODP-865) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1991).

NPPES Registry Identity

NPI1952353716
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAY LESLIE BORGHOLTHAUSCredential: OD
Location Address301 S 4TH AVE # C-2Pocatello, ID 83201-6462
Mailing Address301 S 4th Ave # C-2Pocatello, ID 83201-6462 · (208) 637-0841 · Fax (208) 237-6922
Phone(208) 637-0841
Fax(208) 237-6922
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 1991
Enumeration DateMay 17, 2006
Last NPPES UpdateJune 22, 20162 updates tracked since enumeration
✔ NPI 1952353716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ID · ODP-865
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
301 S 4TH AVE # C-2, Pocatello, ID 83201
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Other Identifiers 3

Medicaid000308200ID
Medicare UPINU55458ID
Medicare ID-Type Unspecified1593901ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jay Leslie Borgholthaus Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032152152
PECOS Enrollment IDI20050608001125
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
127 services119 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
87 services85 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services37 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
34 services34 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
26 services14 patients
Extended exam involving color vision testing 92283
An extended exam involving color vision testing helps identify any difficulties in distinguishing colors, often due to genetic conditions or health problems. This non-invasive test involves identifying different colored numbers or patterns.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Borgholthaus's NPI number?

The NPI number for Jay Borgholthaus is 1952353716. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Jay Borgholthaus located?

Jay Borgholthaus practices at 301 S 4th Ave # C-2, Pocatello, ID 83201. The listed phone number is (208) 637-0841.

What is Jay Borgholthaus's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jay Borgholthaus enrolled in Medicare?

Yes. Jay Borgholthaus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jay Borgholthaus accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Jay Borgholthaus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jay Borgholthaus was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.