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Active NPI 1124281076 Individual Practitioner Male Practitioner

Dr. Jason Dettori , MD

Ophthalmology • Everett, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jason Dettori, MD is a certified Ophthalmology practicing in Everett, WA. With approximately 18 years of clinical experience since graduating from Tufts University School Of Medicine in 2008, Dr. Dettori delivers high-quality medical care to the local community at 2930 MAPLE ST.

Dr. Dettori is affiliated with Kaiser Foundation Health Plan Of Washington and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

2930 Maple St

Everett, WA 982013832

Telephone 4252611500
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Everett, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs -4.9 yrs vs City Avg
City Avg: 22.9 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
15 Specialists

Practicing in Everett, WA (552 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dettori (18 Years) 18 Yrs
Everett Specialty Average (22.9 Years) 22.9 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
13 12 $329.91 $105.10

Medical Specialties & State Licenses

CMS Verified: 2021-03-30
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WA MD60236693

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License WA MD60236693

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of Washington

11511 Ne 10th St, Bellevue, WA 980048578

Phone: 4255023000

Secondary Practice Locations

736 Cambridge St

Boston, MA 021352907

Phone: 6177893000

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003964396

Doctor of Optometry

Maricres Talley , RN

Registered Nurse - Ambulatory Care

NPI 1013074749

Registered Nurse

Scott Sheffler

Physical Therapist

NPI 1013293174
Dr. Amy Nelson , MD

Internal Medicine

NPI 1013458462

Doctor of Medicine (M.D.)

Dr. Chelsea Kozikowski , PhD

Psychologist - Clinical

NPI 1013582303

Doctor of Philosophy (Ph.D.)

Dr. Vikram Gopal , DO

Psychiatry & Neurology - Psychiatry

NPI 1033401518

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location March 30, 2021

Registered at 2930 MAPLE ST, EVERETT, WA 982013832 (Tel: 4252611500)

NPI Profile Active August 14, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address August 14, 2017

Registered at 11511 NE 10TH ST, BELLEVUE, WA 980048578 (Tel: 4255023000)

📍
Updated Practice Location August 14, 2017

Registered at 736 CAMBRIDGE ST, BOSTON, MA 021352907 (Tel: 6177893000)

👤
Provider Name / Credentials Updated August 14, 2017

Recorded as JASON DETTORI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2017

Internal Medicine (License #MD60236693 in WA)

NPI Profile Active July 09, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2008

Registered at 736 CAMBRIDGE ST, BOSTON, MA 021352907 (Tel: 6177893000)

📍
Updated Business Mailing Address July 09, 2008

Registered at 736 CAMBRIDGE ST, BOSTON, MA 021352907 (Tel: 6177893000)

👤
Provider Name / Credentials Updated July 09, 2008

Recorded as JASON DETTORI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2008

Internal Medicine (License #236854 in MA)

🟢
Initial NPI Registration & Enumeration July 09, 2008

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: 1124281076
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2008
Last Update: March 30, 2021
Sole Proprietor: No

Mailing Address

11511 Ne 10th St

Bellevue, WA 980048578

Phone: 4255023000

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.