Active NPI 1346535481 Individual Practitioner Male Practitioner

Dr. Jacob Adam Mong , DO

Ophthalmology • Boise, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Mong, DO is a certified Ophthalmology practicing in Boise, ID. With approximately 15 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 2011, Dr. Mong delivers high-quality medical care to the local community at 5680 W GAGE ST.

Dr. Mong is affiliated with Vision Quest Medical Center Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, imaging of retina, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5680 W Gage St

Boise, ID 837061326

Telephone 2083773937

Fax 2083779455

Associated Practice Facility / Clinic

🏢 Premier Surgical Center, Inc Facility NPI 1275516718

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Boise, ID

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -8.1 yrs vs City Avg

City Avg: 23.1 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

26 Specialists

Practicing in Boise, ID (80 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

23.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mong (15 Years) 15 Yrs

Boise Specialty Average (23.1 Years) 23.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	618	346	$559.78	$416.85
92134 Imaging of retina	400	390	$40.92	$35.84
92136 Measurement of corneal curvature and depth of eye	330	327	$47.83	$43.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	324	324	$112.17	$103.80
92025 Ct scan of cornea	287	285	$37.22	$30.80
92012 Established patient problem focused exam of visual system	238	150	$90.57	$81.27
66821 Removal of recurring cataract in lens capsule using a laser	206	145	$361.06	$295.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$170.89	$155.66
92133 Imaging of optic nerve	85	84	$36.18	$32.37
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	64	40	$693.33	$462.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$124.51	$118.52
66982 Complex removal of cataract with insertion of prosthetic lens	30	25	$720.86	$579.36
68761 Closure of tear duct opening using plug	30	12	$158.42	$91.41
66174 Dilation of fluid outflow drainage within eye	26	17	$665.88	$457.40
92083 Exam of visual field with extended testing	25	25	$61.82	$58.07
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$89.07	$84.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	343	208	$454.27	$409.67
92012 Established patient problem focused exam of visual system	341	186	$83.27	$81.30
92134 Imaging of retina	339	326	$39.21	$35.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	291	291	$108.95	$101.78
92136 Measurement of corneal curvature and depth of eye	239	237	$50.21	$42.78
92025 Ct scan of cornea	166	164	$34.21	$30.49
66821 Removal of recurring cataract in lens capsule using a laser	151	115	$345.32	$300.15
66982 Complex removal of cataract with insertion of prosthetic lens	103	74	$653.65	$568.74
92133 Imaging of optic nerve	63	59	$35.02	$32.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$120.10	$116.15
66174 Dilation of fluid outflow drainage within eye	29	16	$687.18	$477.38
92083 Exam of visual field with extended testing	29	26	$56.38	$56.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$151.97	$151.07
65855 Laser repair to improve eye fluid flow	24	13	$221.50	$189.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	350	202	$558.58	$428.65
92012 Established patient problem focused exam of visual system	309	194	$88.21	$82.45
92134 Imaging of retina	264	250	$40.25	$35.70
92136 Measurement of corneal curvature and depth of eye	225	225	$53.41	$46.01
92025 Ct scan of cornea	206	206	$68.13	$30.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	146	146	$109.53	$103.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$164.59	$154.95
66821 Removal of recurring cataract in lens capsule using a laser	86	64	$350.21	$305.87
66982 Complex removal of cataract with insertion of prosthetic lens	67	52	$790.23	$573.99
92133 Imaging of optic nerve	58	56	$36.94	$31.44
92014 Established patient complete exam of visual system	32	31	$133.15	$118.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$123.89	$120.98
92083 Exam of visual field with extended testing	29	29	$60.20	$55.82
66821 Removal of recurring cataract in lens capsule using a laser	16	15	$563.89	$336.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	295	171	$92.16	$83.77
92134 Imaging of retina	263	224	$47.91	$36.78
66984 Removal of cataract with insertion of lens	260	158	$846.60	$429.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	186	186	$171.98	$156.79
92136 Measurement of corneal curvature and depth of eye	161	160	$79.77	$50.61
92025 Ct scan of cornea	151	151	$104.70	$31.08
92014 Established patient complete exam of visual system	94	93	$122.86	$119.15
66821 Removal of recurring cataract in lens capsule using a laser	62	53	$366.93	$314.28
66982 Complex removal of cataract with insertion of prosthetic lens	62	42	$1002.50	$600.72
92133 Imaging of optic nerve	59	50	$39.11	$33.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	42	$121.04	$115.01
66821 Removal of recurring cataract in lens capsule using a laser	30	22	$648.49	$308.54
92083 Exam of visual field with extended testing	25	22	$59.27	$58.76
99213 Established patient office or other outpatient visit, typically 15 minutes	15	11	$140.00	$85.06
76514 Ultrasound scan of cornea to determine thickness	15	15	$19.95	$10.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	238	147	$93.02	$83.97
66984 Removal of cataract with insertion of lens	192	110	$894.04	$433.42
92134 Imaging of retina	179	161	$52.08	$37.36
92014 Established patient complete exam of visual system	110	110	$134.55	$118.79
92136 Measurement of corneal curvature and depth of eye	108	108	$97.81	$58.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$197.07	$154.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	85	$110.52	$102.52
92025 Ct scan of cornea	86	85	$101.63	$31.81
92133 Imaging of optic nerve	59	54	$41.25	$34.35
66982 Complex removal of cataract with insertion of prosthetic lens	47	32	$963.53	$589.20
66821 Removal of recurring cataract in lens capsule using a laser	46	36	$635.94	$320.94
92004 New patient complete exam of visual system	31	31	$195.76	$143.39
92083 Exam of visual field with extended testing	27	24	$73.62	$59.33
65820 Incision to improve eye fluid flow	27	16	$1121.60	$708.60
0191T Internal insertion of eye fluid drainage device	25	14	$840.00	$224.22
66821 Removal of recurring cataract in lens capsule using a laser	24	22	$382.47	$307.95
76514 Ultrasound scan of cornea to determine thickness	21	21	$16.70	$10.71
92020 Examination of cornea and iris using lens device and slit lamp	16	16	$26.52	$26.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	246	159	$90.03	$81.19
92014 Established patient complete exam of visual system	162	162	$126.85	$117.92
92134 Imaging of retina	149	143	$44.98	$36.87
66984 Removal of cataract with insertion of lens	126	76	$679.36	$480.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$170.21	$152.41
92136 Measurement of corneal curvature and depth of eye	89	86	$96.19	$63.61
92133 Imaging of optic nerve	60	58	$36.92	$34.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	54	$111.88	$102.19
66821 Removal of recurring cataract in lens capsule using a laser	49	42	$380.05	$315.44
66821 Removal of recurring cataract in lens capsule using a laser	36	32	$620.80	$318.05
92004 New patient complete exam of visual system	35	35	$170.49	$142.55
92025 Ct scan of cornea	27	27	$80.48	$30.60
92083 Exam of visual field with extended testing	26	26	$65.22	$59.59
66982 Complex removal of cataract with insertion of prosthetic lens	25	21	$882.24	$547.93
92020 Examination of cornea and iris using lens device and slit lamp	22	22	$26.52	$26.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	380	235	$86.24	$78.42
92014 Established patient complete exam of visual system	245	243	$124.83	$113.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	140	$107.41	$94.49
66984 Removal of cataract with insertion of lens	160	90	$636.43	$545.26
92134 Imaging of retina	151	139	$42.47	$36.89
92136 Measurement of corneal curvature and depth of eye	102	102	$94.09	$70.06
92133 Imaging of optic nerve	101	92	$39.81	$34.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$162.56	$145.47
92083 Exam of visual field with extended testing	65	58	$64.22	$57.79
66821 Removal of recurring cataract in lens capsule using a laser	54	44	$376.98	$315.42
92004 New patient complete exam of visual system	49	49	$146.19	$137.93
92020 Examination of cornea and iris using lens device and slit lamp	35	35	$27.38	$24.67
92025 Ct scan of cornea	34	34	$59.96	$30.61
66821 Removal of recurring cataract in lens capsule using a laser	34	33	$427.19	$309.23
76514 Ultrasound scan of cornea to determine thickness	19	19	$16.57	$13.04
92225 Examination of eye by ophthalmoscope with retinal drawing	14	14	$27.63	$25.09
67820 Removal of eyelashes using forceps	14	12	$50.72	$33.85
92081 Exam of visual field with limited testing	13	13	$34.35	$31.13
15823 Removal of excessive skin and fat of upper eyelid	12	12	$1026.96	$745.61
92285 Photography of content of eyes	12	12	$22.84	$15.12
66982 Complex removal of cataract with insertion of prosthetic lens	12	11	$818.18	$635.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$105.99	$94.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	181	$121.71	$94.33
92014 Established patient complete exam of visual system	226	223	$161.94	$111.47
92012 Established patient problem focused exam of visual system	192	132	$90.60	$76.22
92133 Imaging of optic nerve	100	91	$57.30	$33.28
66821 Removal of recurring cataract in lens capsule using a laser	100	72	$330.65	$287.15
66984 Removal of cataract with insertion of lens	95	58	$703.07	$577.68
92134 Imaging of retina	88	83	$59.82	$36.48
92020 Examination of cornea and iris using lens device and slit lamp	72	70	$36.66	$24.54
92083 Exam of visual field with extended testing	69	54	$70.42	$57.34
92136 Measurement of corneal curvature and depth of eye	57	57	$93.16	$75.99
76514 Ultrasound scan of cornea to determine thickness	51	49	$22.19	$12.82
92004 New patient complete exam of visual system	49	49	$209.21	$134.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$224.34	$146.42
92025 Ct scan of cornea	31	31	$51.12	$30.96
68761 Closure of tear duct opening using plug	24	13	$194.14	$102.97
92225 Examination of eye by ophthalmoscope with retinal drawing	23	22	$35.50	$24.50
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$88.29	$63.95
66982 Complex removal of cataract with insertion of prosthetic lens	16	13	$856.27	$717.92

Medical Specialties & State Licenses

CMS Verified: 2023-05-08

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License ID O-0860

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License MI 1346535481

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1346535481 (ID)

Commercial Insurance / Payer ID Medicare Ptan

20006959 (ID)

Hospital & Practice Group Affiliations

Vision Quest Medical Center Pa

350 E Ln S, Ontario, OR 979143058

Phone: 2083773937

Vision Quest Medical Center Pa

5680 W Gage St, Boise, ID 837061326

Phone: 2083773937

Secondary Practice Locations

350 East Ln S

Ontario, OR 979143058

Phone: 2083773937

3025 W Cherry Ln Ste 207

Meridian, ID 836428530

Phone: 2083773937

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Denise Capps , MD

Ophthalmology

NPI 1083061717

Doctor of Medicine (M.D.)

Dr. Cassandra White , MD

Ophthalmology

NPI 1093071219

Doctor of Medicine (M.D.)

Dr. Stephanie Warden , OD

Optometrist

NPI 1174279830

Doctor of Optometry

Dr. Stephen Reinschmidt , OD

Optometrist

NPI 1205161387

Doctor of Optometry

Dr. John Sonntag , MD

Ophthalmology

NPI 1245223809

Doctor of Medicine (M.D.)

Dr. Gary Pabalis , OD

Optometrist

NPI 1396740262

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2023

Ophthalmology (License #1346535481 in MI)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2018

Ophthalmology (License #O-0860 in ID)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Ophthalmology (License #1346535481 in MI)

✅

NPI Profile Active November 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 20, 2017

Registered at 5680 W GAGE ST, BOISE, ID 837061326 (Tel: 2083773937)

📍

Updated Business Mailing Address November 20, 2017

Registered at 5680 W GAGE ST, BOISE, ID 837061326 (Tel: 2083773937)

👤

Provider Name / Credentials Updated November 20, 2017

Recorded as JACOB MONG, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2017

Ophthalmology (License #O-0860 in ID)

✅

NPI Profile Active August 25, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 25, 2015

Registered at 5680 W GAGE ST, BOISE, ID 837061326 (Tel: 2083773937)

📍

Updated Business Mailing Address August 25, 2015

Registered at 5680 W GAGE ST, BOISE, ID 837061326 (Tel: 2083773937)

👤

Provider Name / Credentials Updated August 25, 2015

Recorded as JACOB MONG, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2015

Ophthalmology (License #1346535481 in MI)

🟢

Initial NPI Registration & Enumeration June 16, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346535481

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 16, 2011

Last Update: May 08, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5680 W Gage St

Boise, ID 837061326

Phone: 2083773937

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.