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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JERRY DALE CARLSON O.D.
NPI 1982651287
Optometrist in Spanish Fork, UT

Active since May 30, 2006PECOS Enrolled
955 N MAIN ST, SPANISH FORK, UT 84660(801) 798-3557 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jerry Dale Carlson O.d. NPPES

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

DR. JERRY DALE CARLSON O.D. (NPI 1982651287) is an individual optometrist in Spanish Fork, Utah, licensed in Utah (5154950-9934) 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 (2002).

NPPES Registry Identity

NPI1982651287
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JERRY DALE CARLSONCredential: O.D.
Location Address955 N MAIN STSpanish Fork, UT 84660-1150
Mailing Address955 N Main StSpanish Fork, UT 84660-1150 · (801) 798-3557
Phone(801) 798-3557
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2002
Enumeration DateMay 30, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1982651287 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 UT · 5154950-9934
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.
955 N MAIN ST, Spanish Fork, UT 84660
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Jerry Dale Carlson O.d. 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 ID8921089830
PECOS Enrollment IDI20070724000798
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 3

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.
57 services55 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.
20 services19 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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84660 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 2

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

SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
955 N MAIN ST
SPANISH FORK, UT 84660
Utah County (801) 798-3529
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
955 N MAIN ST
SPANISH FORK, UT 84660
Utah County (801) 798-3557

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 Jerry Carlson's NPI number?

The NPI number for Jerry Carlson is 1982651287. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Jerry Carlson located?

Jerry Carlson practices at 955 N Main St, Spanish Fork, UT 84660. The listed phone number is (801) 798-3557.

What is Jerry Carlson's specialty?

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

Is Jerry Carlson enrolled in Medicare?

Yes. Jerry Carlson 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 Jerry Carlson accept?

Health plans from Providence Health Plan list Jerry Carlson 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 Jerry Carlson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.