Active NPI 1912015330 Individual Practitioner Male Practitioner

Dr. Robert Randall Jones , MD

Ophthalmology • Pocatello, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Jones, MD is a certified Ophthalmology practicing in Pocatello, ID. With approximately 39 years of clinical experience since graduating from University Of Washington School Of Medicine in 1987, Dr. Jones delivers high-quality medical care to the local community at 1951 BENCH RD.

Dr. Jones accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1951 Bench Rd
#c

Pocatello, ID 83201

Telephone 2082383377

Fax 2082388091

Associated Practice Facility / Clinic

🏢 Family Practice Group, P.a. Facility NPI 1205869310

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Pocatello, ID

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +8.0 yrs vs City Avg

City Avg: 31.0 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Pocatello, ID (80 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

35.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jones (39 Years) 39 Yrs

Pocatello Specialty Average (31.0 Years) 31.0 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
92014 Established patient complete exam of visual system	413	379	$130.15	$118.34
99213 Established patient office or other outpatient visit, typically 15 minutes	117	82	$91.07	$83.84
92004 New patient complete exam of visual system	100	100	$149.40	$138.79
92133 Imaging of optic nerve	75	75	$75.53	$32.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$189.83	$150.70
92134 Imaging of retina	59	56	$84.07	$37.66
92083 Exam of visual field with extended testing	58	54	$85.17	$58.33
92136 Measurement of corneal curvature and depth of eye	47	32	$75.00	$27.65
66984 Removal of cataract with insertion of lens	41	29	$997.07	$494.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	32	$66.76	$53.03
68801 Dilation of tear drainage opening	27	26	$146.67	$118.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$136.92	$120.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	452	420	$130.13	$118.01
99213 Established patient office or other outpatient visit, typically 15 minutes	114	82	$88.55	$84.28
92004 New patient complete exam of visual system	87	87	$150.00	$140.57
92133 Imaging of optic nerve	71	70	$75.28	$33.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$189.60	$153.76
92083 Exam of visual field with extended testing	57	55	$84.82	$57.90
92134 Imaging of retina	39	38	$85.00	$37.64
92136 Measurement of corneal curvature and depth of eye	36	26	$75.00	$28.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$135.00	$119.76
66984 Removal of cataract with insertion of lens	28	20	$920.00	$503.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	23	$64.07	$52.54
68801 Dilation of tear drainage opening	25	25	$147.60	$117.63
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$252.69	$205.65
67820 Removal of eyelashes using forceps	13	11	$23.08	$17.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	425	399	$130.05	$117.32
99213 Established patient office or other outpatient visit, typically 15 minutes	140	109	$85.71	$84.65
92004 New patient complete exam of visual system	131	131	$149.85	$140.01
92133 Imaging of optic nerve	68	66	$75.00	$32.84
92136 Measurement of corneal curvature and depth of eye	57	36	$75.00	$28.82
92083 Exam of visual field with extended testing	49	47	$85.00	$57.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$187.13	$156.03
66984 Removal of cataract with insertion of lens	44	30	$920.00	$499.90
92134 Imaging of retina	44	42	$84.32	$37.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	33	$60.68	$52.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$135.33	$118.68
68801 Dilation of tear drainage opening	17	16	$127.06	$104.62
66821 Removal of recurring cataract in lens capsule using a laser	14	14	$928.57	$356.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	465	440	$130.09	$118.49
99213 Established patient office or other outpatient visit, typically 15 minutes	160	115	$84.59	$83.85
92004 New patient complete exam of visual system	137	137	$149.85	$140.73
92133 Imaging of optic nerve	96	92	$75.31	$33.22
92083 Exam of visual field with extended testing	74	71	$85.27	$58.58
92136 Measurement of corneal curvature and depth of eye	59	36	$75.00	$29.33
66984 Removal of cataract with insertion of lens	54	33	$923.33	$508.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	33	$54.61	$51.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$187.57	$157.71
92134 Imaging of retina	34	34	$84.71	$38.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	25	$129.33	$122.11
68801 Dilation of tear drainage opening	26	25	$145.38	$111.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	419	400	$129.98	$119.31
99213 Established patient office or other outpatient visit, typically 15 minutes	173	119	$80.78	$70.93
92004 New patient complete exam of visual system	167	167	$150.00	$141.31
92133 Imaging of optic nerve	62	62	$75.48	$33.73
92083 Exam of visual field with extended testing	50	50	$85.60	$59.38
66984 Removal of cataract with insertion of lens	45	32	$1025.33	$523.08
92136 Measurement of corneal curvature and depth of eye	43	31	$75.00	$30.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	30	$50.49	$42.58
92134 Imaging of retina	37	35	$84.19	$38.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	25	$126.17	$103.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$186.20	$156.49
68801 Dilation of tear drainage opening	22	21	$135.00	$108.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	470	451	$132.70	$118.39
99213 Established patient office or other outpatient visit, typically 15 minutes	216	144	$80.67	$69.43
92004 New patient complete exam of visual system	201	201	$149.35	$141.88
92136 Measurement of corneal curvature and depth of eye	89	57	$75.00	$30.21
92133 Imaging of optic nerve	83	81	$75.36	$33.28
92083 Exam of visual field with extended testing	75	71	$85.00	$59.48
66984 Removal of cataract with insertion of lens	62	38	$949.19	$602.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	45	$51.21	$41.84
92134 Imaging of retina	46	42	$84.78	$38.44
68801 Dilation of tear drainage opening	37	34	$184.73	$104.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$122.26	$102.02
66982 Complex removal of cataract with insertion of prosthetic lens	27	20	$1150.00	$749.41
66821 Removal of recurring cataract in lens capsule using a laser	19	19	$728.95	$314.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$185.29	$154.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	463	434	$120.04	$111.72
99213 Established patient office or other outpatient visit, typically 15 minutes	225	153	$80.47	$63.98
92004 New patient complete exam of visual system	155	155	$140.35	$134.29
92136 Measurement of corneal curvature and depth of eye	87	53	$75.00	$29.35
92133 Imaging of optic nerve	85	79	$75.12	$31.93
66984 Removal of cataract with insertion of lens	74	44	$1005.41	$569.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$202.03	$145.69
92083 Exam of visual field with extended testing	59	55	$85.59	$55.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	51	$51.21	$37.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	36	$123.57	$95.35
92134 Imaging of retina	38	37	$83.16	$36.85
68801 Dilation of tear drainage opening	36	35	$176.53	$96.51
66821 Removal of recurring cataract in lens capsule using a laser	19	19	$872.37	$333.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$115.77	$95.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	467	443	$120.02	$108.33
99213 Established patient office or other outpatient visit, typically 15 minutes	195	137	$80.95	$62.32
92004 New patient complete exam of visual system	105	105	$139.52	$129.09
66984 Removal of cataract with insertion of lens	75	55	$1004.27	$554.13
92136 Measurement of corneal curvature and depth of eye	71	53	$75.00	$28.16
92134 Imaging of retina	63	59	$77.54	$35.68
92133 Imaging of optic nerve	63	60	$75.00	$31.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	39	$50.60	$37.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$174.38	$143.62
92083 Exam of visual field with extended testing	47	46	$85.32	$55.81
68801 Dilation of tear drainage opening	39	36	$151.28	$88.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	31	$120.00	$94.22
66821 Removal of recurring cataract in lens capsule using a laser	14	14	$754.29	$262.70

Medical Specialties & State Licenses

CMS Verified: 2023-06-08

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License ID M6955

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000223700 (ID)

Commercial Insurance / Payer ID R/r Medicare

180029065

Commercial Insurance / Payer ID Medicare Ptan

11344491 (ID)

Commercial Insurance / Payer ID B/s

000010001691 (ID)

Commercial Insurance / Payer ID B/c

19554 (ID)

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. Lavonne Mills , MD

Family Medicine

NPI 1023036647

Doctor of Medicine (M.D.)

Dr. Zachary Warnock , MD

Family Medicine

NPI 1164717419

Doctor of Medicine (M.D.)

Nicolette Hampton , NP-C

Nurse Practitioner - Family

NPI 1184083818

Nurse Practitioner (Certified)

Dr. Brandon Mickelsen , DO

Family Medicine

NPI 1417987686

Doctor of Osteopathic Medicine (D.O.)

Mandy Smith , PTA

Physical Therapy Assistant

NPI 1528414513

Physical Therapist Assistant

Dr. John Fenstermaker , DO

Family Medicine

NPI 1548581390

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 24, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 24, 2008

Registered at 1951 BENCH RD, #C, POCATELLO, ID 83201 (Tel: 2082383377)

📍

Updated Business Mailing Address September 24, 2008

Registered at 1951 BENCH RD, #C, POCATELLO, ID 83201 (Tel: 2082383377)

👤

Provider Name / Credentials Updated September 24, 2008

Recorded as ROBERT JONES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2008

Ophthalmology (License #M6955 in ID)

🟢

Initial NPI Registration & Enumeration August 26, 2006

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: 1912015330

Entity Type:

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

Enumeration Date: August 26, 2006

Last Update: June 08, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1951 Bench Rd, #c

Pocatello, ID 83201

Phone: 2082383377

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.