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JOEL AGADO HERNANDEZ OD
NPI 1952831695
Optometrist in Caldwell, ID

Active since June 15, 2017PECOS EnrolledAccepts Medicare Assignment
1906 FAIRVIEW AVE STE 100, CALDWELL, ID 83605(208) 459-2020(208) 459-2034 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2018, Jun 15, 2017 (2 updates tracked since 2017).

About Joel Agado Hernandez Od NPPES

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

JOEL AGADO HERNANDEZ OD (NPI 1952831695) is an individual optometrist in Caldwell, Idaho, licensed in Idaho (ODP-100411) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2017).

NPPES Registry Identity

NPI1952831695
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOEL AGADO HERNANDEZCredential: OD
Location Address1906 FAIRVIEW AVE STE 100Caldwell, ID 83605-5433
Mailing Address420 E Elm StCaldwell, ID 83605-4846 · (208) 459-2020 · Fax (208) 459-2034
Phone(208) 459-2020
Fax(208) 459-2034
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2017
Enumeration DateJune 15, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1952831695 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-100411
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.
1906 FAIRVIEW AVE STE 100, Caldwell, ID 83605
Open in Google Maps ↗

Other Identifiers 1

OtherOD100411ID · Optometry License

Accepted Insurance

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

Joel Agado Hernandez 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 ID1355610056
PECOS Enrollment IDI20170712002627
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 8

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.

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.
189 services189 patients
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.
172 services167 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.
141 services95 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
66 services51 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
35 services30 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
27 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%35 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY EYECARE SPECIALISTS PLLC
Optometrist
1906 FAIRVIEW AVE STE 100
CALDWELL, ID 83605
Canyon County (208) 459-2020
VISION QUEST MEDICAL CENTER, PA
Ophthalmology
1906 FAIRVIEW AVE STE 100
CALDWELL, ID 83605
Canyon County (208) 377-3937
NICHOLAS WILLIAM GONZALES
Optometrist
1906 FAIRVIEW AVE STE 100
CALDWELL, ID 83605
Canyon County (208) 459-2020
DR. SUSAN L. FARMER O.D.
Optometrist
1906 FAIRVIEW AVE STE 100
CALDWELL, ID 83605
Canyon County (208) 459-2020

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 Joel Hernandez's NPI number?

The NPI number for Joel Hernandez is 1952831695. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Joel Hernandez located?

Joel Hernandez practices at 1906 Fairview Ave Ste 100, Caldwell, ID 83605. The listed phone number is (208) 459-2020.

What is Joel Hernandez's specialty?

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

Is Joel Hernandez enrolled in Medicare?

Yes. Joel Hernandez 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 Joel Hernandez accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and PacificSource Health Plans and 2 other insurers list Joel Hernandez 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 Joel Hernandez was last updated on June 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.