Active NPI 1538150578 Individual Practitioner Male Practitioner

Dr. Jonathan E Ross , OD

Optometrist • West Mifflin, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Ross, OD is a certified Optometrist practicing in West Mifflin, PA. With approximately 21 years of clinical experience since graduating from Pennsylvania College Of Optometry in 2005, Dr. Ross delivers high-quality medical care to the local community at 500 LEWIS RUN RD.

Dr. Ross accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, established patient problem focused 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

500 Lewis Run Rd
Suite 218

West Mifflin, PA 151223056

Telephone 4124669582

Fax 4124667906

Associated Practice Facility / Clinic

🏢 Jack Mannheimer M.d. Pc Facility NPI 1477854826

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in West Mifflin, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +1.3 yrs vs City Avg

City Avg: 19.7 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

7 Specialists

Practicing in West Mifflin, PA (2764 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

37.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ross (21 Years) 21 Yrs

West Mifflin Specialty Average (19.7 Years) 19.7 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	162	162	$155.00	$117.91
92250 Photography of the retina	126	125	$95.00	$34.12
92012 Established patient problem focused exam of visual system	116	80	$120.00	$83.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	99	$155.00	$121.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	55	$65.00	$52.80
99213 Established patient office or other outpatient visit, typically 15 minutes	81	73	$105.00	$85.96
92004 New patient complete exam of visual system	36	36	$180.00	$137.62
92083 Exam of visual field with extended testing	32	28	$95.00	$58.75
66984 Removal of cataract with insertion of lens	31	19	$300.00	$99.81
92134 Imaging of retina	28	24	$75.00	$37.61
92133 Imaging of optic nerve	17	17	$75.00	$32.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$200.00	$159.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	146	146	$154.79	$120.32
92012 Established patient problem focused exam of visual system	94	61	$119.68	$85.31
92250 Photography of the retina	81	80	$94.63	$35.17
99213 Established patient office or other outpatient visit, typically 15 minutes	74	63	$105.00	$86.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	63	$154.53	$121.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	33	$64.89	$53.94
92083 Exam of visual field with extended testing	36	34	$95.00	$59.08
92004 New patient complete exam of visual system	20	20	$180.00	$142.33
92134 Imaging of retina	19	16	$75.00	$38.35
92133 Imaging of optic nerve	17	16	$75.00	$32.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$200.00	$159.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	163	163	$140.18	$121.44
92012 Established patient problem focused exam of visual system	71	54	$105.00	$85.42
99213 Established patient office or other outpatient visit, typically 15 minutes	67	56	$95.00	$87.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	63	$140.00	$119.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	34	$60.00	$54.36
92134 Imaging of retina	38	34	$66.05	$39.13
92083 Exam of visual field with extended testing	37	32	$85.00	$59.04
92133 Imaging of optic nerve	26	24	$65.77	$33.17
92004 New patient complete exam of visual system	21	21	$165.00	$144.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$175.00	$162.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	140	140	$140.00	$123.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	97	$139.19	$124.41
99213 Established patient office or other outpatient visit, typically 15 minutes	85	70	$92.88	$88.09
92012 Established patient problem focused exam of visual system	60	49	$105.00	$86.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	37	$57.68	$53.69
92004 New patient complete exam of visual system	51	51	$165.00	$145.43
92250 Photography of the retina	36	36	$85.00	$36.48
92083 Exam of visual field with extended testing	34	32	$85.00	$61.32
92133 Imaging of optic nerve	31	30	$65.00	$34.30
92134 Imaging of retina	27	25	$65.00	$39.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$173.82	$164.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	179	175	$140.00	$123.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	41	$50.00	$44.35
92012 Established patient problem focused exam of visual system	70	59	$105.00	$86.20
99213 Established patient office or other outpatient visit, typically 15 minutes	53	36	$80.00	$73.44
92083 Exam of visual field with extended testing	33	28	$85.00	$61.14
92004 New patient complete exam of visual system	27	27	$165.00	$146.79
92133 Imaging of optic nerve	22	21	$65.00	$33.91
92250 Photography of the retina	12	12	$85.00	$43.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	259	253	$140.00	$121.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	57	$50.00	$43.49
92012 Established patient problem focused exam of visual system	72	61	$105.00	$85.15
99213 Established patient office or other outpatient visit, typically 15 minutes	68	51	$80.00	$71.49
92083 Exam of visual field with extended testing	51	44	$85.00	$61.34
92133 Imaging of optic nerve	39	36	$65.00	$33.13
92004 New patient complete exam of visual system	37	37	$165.00	$146.11
92250 Photography of the retina	26	26	$85.00	$48.50
92134 Imaging of retina	22	19	$65.00	$39.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	257	251	$138.91	$114.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	57	$50.00	$39.80
92012 Established patient problem focused exam of visual system	78	66	$100.00	$80.06
99213 Established patient office or other outpatient visit, typically 15 minutes	57	43	$79.11	$66.53
92250 Photography of the retina	39	38	$85.00	$51.72
92083 Exam of visual field with extended testing	38	36	$85.00	$58.24
92004 New patient complete exam of visual system	33	33	$162.58	$138.17
92134 Imaging of retina	28	24	$65.00	$37.46
92133 Imaging of optic nerve	20	19	$65.00	$32.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	214	210	$135.00	$110.90
99213 Established patient office or other outpatient visit, typically 15 minutes	78	62	$77.00	$65.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	49	$50.00	$39.24
92012 Established patient problem focused exam of visual system	65	59	$95.00	$76.63
92250 Photography of the retina	58	57	$85.00	$58.59
92004 New patient complete exam of visual system	54	54	$155.00	$134.75
92083 Exam of visual field with extended testing	48	42	$85.00	$57.35
92134 Imaging of retina	41	38	$65.00	$36.84
92133 Imaging of optic nerve	32	31	$65.00	$31.56
66984 Removal of cataract with insertion of lens	22	13	$275.00	$116.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$105.00	$97.94

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG001711

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

Commercial Insurance / Payer ID Advantra

266195 (PA)

Commercial Insurance / Payer ID Cahmpva/ Tricare

251100359004 (PA)

Commercial Insurance / Payer ID Health America/ Health As

266195 (PA)

Commercial Insurance / Payer ID 9872744

CIGNA (PA)

Commercial Insurance / Payer ID Aetna Hmo

1054419 (PA)

Commercial Insurance / Payer ID Aetna Commercial

7128770 (PA)

Commercial Insurance / Payer ID Medicaid Provider #

101541859 (PA)

Commercial Insurance / Payer ID Upmc

410781 (PA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Paul Hoolahan , OD

Optometrist

NPI 1194724807

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 September 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 15, 2008

Registered at 500 LEWIS RUN RD, SUITE 218, WEST MIFFLIN, PA 151223056 (Tel: 4124669582)

📍

Updated Business Mailing Address September 15, 2008

Registered at 500 LEWIS RUN RD, SUITE 218, WEST MIFFLIN, PA 151223056 (Tel: 4124669582)

👤

Provider Name / Credentials Updated September 15, 2008

Recorded as JONATHAN ROSS, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2008

Optometrist (License #OEG001711 in PA)

🟢

Initial NPI Registration & Enumeration October 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Jonathan Ross. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1538150578

Entity Type:

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

Enumeration Date: October 31, 2005

Last Update: September 15, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

500 Lewis Run Rd, Suite 218

West Mifflin, PA 151223056

Phone: 4124669582

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.