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Active NPI 1326148933 Individual Practitioner Male Practitioner

Dr. Jay D Petersma , OD

Optometrist • Johnston, IA

Professional Overview & Biography Verified Profile Summary

Dr. Jay Petersma, OD is a registered healthcare professional specializing in Optometrist in Johnston, IA. Practice services are available at 5501 NW 86TH ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5501 Nw 86th St
Suite 500

Johnston, IA 501311816

Telephone 5152700494
Fax 5152706463
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Johnston, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 23.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Johnston, IA (704 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
85 82 $121.00 $118.92

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IA 01861

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.

Optometrist - Corneal and Contact Management

NUCC Taxonomy Code: 152WC0802X

State License IA 01861

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Midlands Choice
18665 (IA)
Commercial Insurance / Payer ID Wellmark
26387 (IA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1013584549

Doctor of Optometry

NPI 1124012869

Doctor of Optometry

NPI 1386657641

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 11, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2010

Registered at 5501 NW 86TH ST, SUITE 500, JOHNSTON, IA 501311816 (Tel: 5152700494)

📍
Updated Business Mailing Address January 11, 2010

Registered at 5501 NW 86TH ST, SUITE 500, JOHNSTON, IA 501311816 (Tel: 5152700494)

👤
Provider Name / Credentials Updated January 11, 2010

Recorded as JAY PETERSMA, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2010

Optometrist (License #01861 in IA)

🟢
Initial NPI Registration & Enumeration September 24, 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: 1326148933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2006
Last Update: January 11, 2010
Sole Proprietor: Yes

Mailing Address

5501 Nw 86th St, Suite 500

Johnston, IA 501311816

Phone: 5152700494

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.