Active NPI 1366435471 Individual Practitioner Female Practitioner

Dr. Angela Kathryn Jackson , OD

Optometrist • Rossford, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Angela Jackson, OD is a certified Optometrist practicing in Rossford, OH. With approximately 29 years of clinical experience since graduating from Ohio State University - College Of Optometry in 1997, Dr. Jackson delivers high-quality medical care to the local community at 647 LIME CITY RD.

Dr. Jackson is affiliated with Quality Family Eyecare, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established patient complete exam of visual system, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

647 Lime City Rd

Rossford, OH 434601444

Telephone 4196660700

Fax 4196669605

Associated Practice Facility / Clinic

🏢 Quality Family Eyecare, Inc Facility NPI 1164595203

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Rossford, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +2.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

3 Specialists

Practicing in Rossford, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (29 Years) 29 Yrs

Rossford Specialty Average (26.5 Years) 26.5 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	2,551	19	$3.04	$1.11
92014 Established patient complete exam of visual system	249	249	$133.00	$116.88
92250 Photography of the retina	165	156	$73.00	$34.35
99213 Established patient office or other outpatient visit, typically 15 minutes	86	73	$98.00	$85.54
92083 Exam of visual field with extended testing	84	76	$83.00	$58.17
92133 Imaging of optic nerve	78	72	$50.00	$31.20
92134 Imaging of retina	72	63	$50.00	$36.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	39	$140.00	$121.17
92004 New patient complete exam of visual system	18	18	$160.00	$138.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$60.00	$52.82
76514 Ultrasound scan of cornea to determine thickness	15	15	$35.00	$10.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,988	15	$3.25	$1.23
92014 Established patient complete exam of visual system	248	247	$133.00	$118.92
92250 Photography of the retina	127	124	$72.73	$35.10
92134 Imaging of retina	75	60	$50.00	$37.66
99213 Established patient office or other outpatient visit, typically 15 minutes	65	54	$98.00	$85.99
92133 Imaging of optic nerve	64	60	$47.16	$32.36
92083 Exam of visual field with extended testing	62	53	$83.00	$58.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	43	$140.00	$121.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	30	$60.00	$53.59
92004 New patient complete exam of visual system	27	27	$160.00	$141.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,035	15	$2.90	$1.20
92014 Established patient complete exam of visual system	230	230	$133.00	$120.77
99213 Established patient office or other outpatient visit, typically 15 minutes	83	67	$98.00	$87.63
92134 Imaging of retina	73	67	$50.00	$37.54
92133 Imaging of optic nerve	69	60	$43.00	$33.24
92083 Exam of visual field with extended testing	60	51	$83.00	$59.16
92250 Photography of the retina	53	52	$73.00	$35.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	44	$140.00	$120.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	28	$60.00	$54.55
92284 Evaluation of eye adaptation to light and dark with interpretation and report	17	15	$55.00	$53.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,142	16	$2.78	$1.17
92014 Established patient complete exam of visual system	215	215	$131.81	$121.86
99213 Established patient office or other outpatient visit, typically 15 minutes	57	54	$81.68	$77.58
92083 Exam of visual field with extended testing	56	48	$83.00	$60.26
92133 Imaging of optic nerve	55	47	$43.00	$33.55
92134 Imaging of retina	52	44	$50.00	$39.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	44	$56.94	$52.46
92250 Photography of the retina	48	48	$73.00	$37.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$118.73	$112.59
92004 New patient complete exam of visual system	17	17	$160.00	$145.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,954	15	$2.78	$1.19
92014 Established patient complete exam of visual system	229	227	$130.00	$121.65
99213 Established patient office or other outpatient visit, typically 15 minutes	71	56	$68.00	$67.73
92133 Imaging of optic nerve	55	46	$43.00	$33.98
92083 Exam of visual field with extended testing	52	46	$83.00	$59.85
92134 Imaging of retina	52	51	$50.00	$39.09
92250 Photography of the retina	49	48	$73.00	$43.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$45.00	$43.98
92004 New patient complete exam of visual system	17	17	$160.00	$145.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$101.00	$100.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,787	22	$2.94	$1.47
92014 Established patient complete exam of visual system	245	243	$130.00	$122.29
99213 Established patient office or other outpatient visit, typically 15 minutes	92	70	$68.00	$67.91
92134 Imaging of retina	59	50	$50.00	$39.61
92133 Imaging of optic nerve	58	49	$43.00	$33.67
92083 Exam of visual field with extended testing	52	45	$83.00	$61.30
92250 Photography of the retina	37	37	$73.00	$48.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$101.00	$100.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$45.00	$43.48
92004 New patient complete exam of visual system	20	20	$160.00	$146.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,448	12	$2.78	$1.38
92014 Established patient complete exam of visual system	252	251	$130.00	$120.81
99213 Established patient office or other outpatient visit, typically 15 minutes	73	55	$68.00	$67.04
92134 Imaging of retina	71	65	$50.00	$39.71
92133 Imaging of optic nerve	55	49	$43.00	$34.02
92083 Exam of visual field with extended testing	49	43	$83.00	$60.79
92250 Photography of the retina	48	48	$73.00	$54.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$45.00	$41.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$101.00	$99.67
92004 New patient complete exam of visual system	17	17	$160.00	$144.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,709	12	$2.79	$1.28
92014 Established patient complete exam of visual system	212	212	$129.86	$110.28
99213 Established patient office or other outpatient visit, typically 15 minutes	90	67	$68.00	$65.67
92250 Photography of the retina	68	66	$73.00	$57.81
92134 Imaging of retina	62	53	$50.00	$36.48
92083 Exam of visual field with extended testing	45	38	$83.00	$56.55
92133 Imaging of optic nerve	42	40	$43.00	$31.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$45.00	$38.82
92004 New patient complete exam of visual system	21	21	$160.00	$133.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$101.00	$96.77

Medical Specialties & State Licenses

CMS Verified: 2021-05-20

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 4846

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2051416 (OH)

Commercial Insurance / Payer ID Paramount

03158 (OH)

Commercial Insurance / Payer ID Anthem

000000185975 (ND)

Commercial Insurance / Payer ID Aetna

5850518 (OH)

Hospital & Practice Group Affiliations

Quality Family Eyecare, Inc

647 Lime City Rd, Rossford, OH 434601444

Phone: 4196660700

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Tracey Needham , OD

Optometrist

NPI 1245305754

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 December 21, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location December 21, 2010

Registered at 647 LIME CITY RD, ROSSFORD, OH 434601444 (Tel: 4196660700)

📍

Updated Business Mailing Address December 21, 2010

Registered at 27530 SWARTZWALDER RD, MILLBURY, OH 434479426 (Tel: 4198368755)

👤

Provider Name / Credentials Updated December 21, 2010

Recorded as ANGELA JACKSON, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2010

Optometrist (License #4846 in OH)

🟢

Initial NPI Registration & Enumeration August 24, 2005

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: 1366435471

Entity Type:

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

Enumeration Date: August 24, 2005

Last Update: May 20, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

27530 Swartzwalder Rd

Millbury, OH 434479426

Phone: 4198368755

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.