Active NPI 1306171970 Individual Practitioner Male Practitioner

Dr. Loren S Jack , MD

Ophthalmology • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Loren Jack, MD is a certified Ophthalmology practicing in Spokane, WA. With approximately 17 years of clinical experience since graduating from Oregon Health Sciences University School Of Medicine in 2009, Dr. Jack delivers high-quality medical care to the local community at 427 S BERNARD ST.

Dr. Jack is affiliated with Spokane Eye Clinic Ps and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, imaging of retina, injection of drug into eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

427 S Bernard St

Spokane, WA 992042509

Telephone 5094560107

Fax 5097472635

Associated Practice Facility / Clinic

🏢 Spokane Eye Clinic Ps Facility NPI 1730187899

Medicare Profile & Education

Medical School

Oregon Health Sciences University School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Spokane, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -2.6 yrs vs City Avg

City Avg: 19.6 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

41 Specialists

Practicing in Spokane, WA (552 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jack (17 Years) 17 Yrs

Spokane Specialty Average (19.6 Years) 19.6 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
J2777 Injection, faricimab-svoa, 0.1 mg	62,700	200	$50.00	$34.40
92134 Imaging of retina	2,327	735	$91.89	$40.19
67028 Injection of drug into eye	1,663	358	$431.27	$124.80
J0178 Injection, aflibercept, 1 mg	1,168	117	$1500.00	$820.49
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	1,095	16	$200.00	$146.96
J0177 Injection, aflibercept hd, 1 mg	512	24	$412.50	$330.18
J2778 Injection, ranibizumab, 0.1 mg	463	22	$520.00	$152.80
92014 Established patient complete exam of visual system	456	410	$194.00	$127.51
99213 Established patient office or other outpatient visit, typically 15 minutes	330	207	$137.00	$91.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	124	124	$304.00	$167.11
92250 Photography of the retina	118	92	$119.24	$32.41
J7999 Compounded drug, not otherwise classified	114	31	$135.00	$88.62
92235 Exam of retinal blood vessels using a special camera after injection of a dye	42	32	$182.86	$127.26
76512 Ultrasound of eye disease, growth, or structure	41	28	$176.59	$47.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$198.00	$126.54
67145 Photocoagulation treatment to prevent detachment of retina	22	22	$1008.00	$210.72
92083 Exam of visual field with extended testing	16	15	$133.13	$60.36
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	15	15	$2874.00	$1065.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	40,980	136	$50.00	$36.38
92134 Imaging of retina	2,672	767	$89.46	$39.47
J0178 Injection, aflibercept, 1 mg	2,150	214	$1500.00	$864.22
67028 Injection of drug into eye	1,878	386	$430.72	$126.50
J2778 Injection, ranibizumab, 0.1 mg	1,293	48	$520.00	$229.65
92014 Established patient complete exam of visual system	495	430	$190.44	$128.87
99213 Established patient office or other outpatient visit, typically 15 minutes	388	222	$135.34	$90.34
J7999 Compounded drug, not otherwise classified	174	45	$136.81	$91.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$304.00	$167.36
92250 Photography of the retina	144	93	$109.81	$30.29
76512 Ultrasound of eye disease, growth, or structure	61	28	$145.39	$39.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	54	$198.00	$129.42
92235 Exam of retinal blood vessels using a special camera after injection of a dye	46	32	$156.00	$97.77
J3490 Unclassified drugs	32	14	$3018.75	$2177.80
67145 Photocoagulation treatment to prevent detachment of retina	20	19	$1008.00	$218.49
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	18	18	$2874.00	$1126.03
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	14	12	$2002.00	$304.21
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	$377.00	$221.84
67108 Repair of detached retina and drainage of eye fluid between lens and retina	12	12	$3054.00	$1191.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	2,940	25	$50.00	$37.45
J0178 Injection, aflibercept, 1 mg	2,902	279	$1500.00	$899.84
92134 Imaging of retina	2,673	865	$90.07	$39.69
J2778 Injection, ranibizumab, 0.1 mg	2,013	92	$520.00	$277.68
67028 Injection of drug into eye	1,862	426	$434.61	$126.15
92014 Established patient complete exam of visual system	416	369	$190.00	$127.49
99213 Established patient office or other outpatient visit, typically 15 minutes	365	241	$135.00	$89.75
J7999 Compounded drug, not otherwise classified	255	67	$135.00	$92.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	201	201	$304.00	$165.84
92250 Photography of the retina	84	64	$108.94	$29.05
J3590 Unclassified biologics	68	28	$3000.00	$2288.50
76512 Ultrasound of eye disease, growth, or structure	40	22	$144.80	$36.75
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	36	36	$2874.00	$1138.96
92235 Exam of retinal blood vessels using a special camera after injection of a dye	32	24	$166.50	$96.54
67145 Photocoagulation treatment to prevent detachment of retina	22	21	$1008.00	$210.56
67108 Repair of detached retina and drainage of eye fluid between lens and retina	21	21	$3054.00	$1144.43
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$377.00	$212.09
67036 Removal of eye fluid (vitreous) between the lens and retina	15	13	$1827.00	$892.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,502	237	$1500.00	$915.60
92134 Imaging of retina	2,297	753	$91.69	$41.24
67028 Injection of drug into eye	1,641	366	$425.40	$127.39
J2778 Injection, ranibizumab, 0.1 mg	1,424	59	$520.00	$314.59
92014 Established patient complete exam of visual system	359	340	$190.00	$128.89
J7999 Compounded drug, not otherwise classified	344	88	$135.00	$94.00
99213 Established patient office or other outpatient visit, typically 15 minutes	203	157	$135.00	$91.60
92012 Established patient problem focused exam of visual system	185	135	$132.00	$91.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	156	156	$304.00	$170.22
92250 Photography of the retina	81	71	$120.77	$35.28
76512 Ultrasound of eye disease, growth, or structure	47	31	$165.60	$46.17
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	26	25	$2874.00	$1158.39
67145 Photocoagulation treatment to prevent detachment of retina	22	21	$1008.00	$496.25
92235 Exam of retinal blood vessels using a special camera after injection of a dye	22	17	$171.55	$93.89
67108 Repair of detached retina and drainage of eye fluid between lens and retina	21	20	$3054.00	$1205.01
92133 Imaging of optic nerve	13	12	$82.85	$33.69
67036 Removal of eye fluid (vitreous) between the lens and retina	13	12	$1827.00	$874.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,588	235	$1500.00	$926.92
92134 Imaging of retina	2,275	744	$91.69	$41.18
67028 Injection of drug into eye	1,681	362	$424.13	$113.92
J2778 Injection, ranibizumab, 0.1 mg	827	36	$520.00	$335.63
J7999 Compounded drug, not otherwise classified	440	111	$135.00	$93.55
92014 Established patient complete exam of visual system	355	334	$190.00	$129.34
J0179 Injection, brolucizumab-dbll, 1 mg	330	15	$500.00	$314.14
92012 Established patient problem focused exam of visual system	309	233	$132.00	$90.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$304.00	$166.36
92250 Photography of the retina	92	76	$116.95	$38.09
76512 Ultrasound of eye disease, growth, or structure	47	29	$165.60	$47.51
92235 Exam of retinal blood vessels using a special camera after injection of a dye	46	36	$185.37	$88.94
92004 New patient complete exam of visual system	41	41	$228.00	$153.53
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	37	36	$2874.00	$1182.81
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$135.00	$76.11
67145 Photocoagulation treatment to prevent detachment of retina	26	25	$1008.00	$510.80
67036 Removal of eye fluid (vitreous) between the lens and retina	25	21	$1827.00	$928.88
67108 Repair of detached retina and drainage of eye fluid between lens and retina	17	17	$3054.00	$1209.78
92201 Extended exam of the back part of the eye with retinal drawing	15	15	$44.00	$25.81
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	14	12	$3317.00	$1285.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$198.00	$111.81
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	$377.00	$199.14
92133 Imaging of optic nerve	12	11	$93.00	$38.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,822	268	$1500.00	$938.94
92134 Imaging of retina	2,786	916	$91.69	$41.21
67028 Injection of drug into eye	1,985	450	$419.09	$113.45
J7999 Compounded drug, not otherwise classified	722	190	$106.73	$83.27
J2778 Injection, ranibizumab, 0.1 mg	663	35	$520.00	$353.16
92012 Established patient problem focused exam of visual system	474	321	$132.00	$89.49
92014 Established patient complete exam of visual system	430	408	$190.00	$128.62
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	147	11	$250.00	$196.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$304.00	$165.96
92250 Photography of the retina	122	101	$114.23	$40.91
92004 New patient complete exam of visual system	68	68	$228.00	$149.20
92235 Exam of retinal blood vessels using a special camera after injection of a dye	66	49	$170.17	$69.46
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	64	63	$2874.00	$1180.63
67145 Photocoagulation treatment to prevent detachment of retina	26	23	$1008.00	$510.28
76512 Ultrasound of eye disease, growth, or structure	25	16	$173.76	$59.07
67036 Removal of eye fluid (vitreous) between the lens and retina	24	21	$1827.00	$917.52
67515 Injection of medication or substance into membrane covering eyeball	22	22	$188.00	$38.92
67108 Repair of detached retina and drainage of eye fluid between lens and retina	22	22	$3054.00	$1212.48
92133 Imaging of optic nerve	17	13	$82.06	$33.15
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	16	15	$3317.00	$1303.51
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	13	11	$2002.00	$300.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,939	649	$91.58	$41.20
J0178 Injection, aflibercept, 1 mg	1,430	126	$1500.00	$949.75
67028 Injection of drug into eye	1,311	278	$418.81	$111.97
J7999 Compounded drug, not otherwise classified	675	158	$90.10	$76.12
J2778 Injection, ranibizumab, 0.1 mg	581	26	$520.00	$370.45
92012 Established patient problem focused exam of visual system	390	258	$132.00	$88.17
92014 Established patient complete exam of visual system	311	285	$190.00	$126.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	197	197	$304.00	$164.20
92250 Photography of the retina	89	63	$101.31	$40.71
92235 Exam of retinal blood vessels using a special camera after injection of a dye	48	32	$147.17	$56.44
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	47	47	$2874.00	$1147.20
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	34	23	$255.65	$163.50
76512 Ultrasound of eye disease, growth, or structure	25	19	$166.52	$62.74
67145 Photocoagulation treatment to prevent detachment of retina	25	22	$1008.00	$488.38
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	20	15	$2002.00	$297.21
92004 New patient complete exam of visual system	17	17	$228.00	$151.94
67036 Removal of eye fluid (vitreous) between the lens and retina	14	13	$1827.00	$846.82
67108 Repair of detached retina and drainage of eye fluid between lens and retina	14	14	$3054.00	$1214.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,599	537	$91.96	$40.55
67028 Injection of drug into eye	1,119	252	$406.51	$109.03
J0178 Injection, aflibercept, 1 mg	920	92	$1500.00	$962.43
J7999 Compounded drug, not otherwise classified	696	182	$85.16	$72.54
J2778 Injection, ranibizumab, 0.1 mg	501	22	$520.00	$372.72
92012 Established patient problem focused exam of visual system	331	216	$132.00	$85.31
92014 Established patient complete exam of visual system	236	226	$190.00	$123.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	170	170	$304.00	$162.23
92250 Photography of the retina	92	66	$105.90	$52.27
99213 Established patient office or other outpatient visit, typically 15 minutes	74	66	$135.00	$71.92
92235 Exam of retinal blood vessels using a special camera after injection of a dye	59	41	$156.49	$55.04
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	44	25	$206.05	$134.87
76512 Ultrasound of eye disease, growth, or structure	32	26	$166.56	$84.80
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	30	29	$2874.00	$1148.44
67145 Photocoagulation treatment to prevent detachment of retina	20	19	$1008.00	$488.16
92225 Examination of eye by ophthalmoscope with retinal drawing	19	13	$51.00	$26.99
92004 New patient complete exam of visual system	15	15	$228.00	$148.91
67108 Repair of detached retina and drainage of eye fluid between lens and retina	13	11	$3054.00	$1187.12

Medical Specialties & State Licenses

CMS Verified: 2024-08-01

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WA 60524950

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

2042528 (WA)

Hospital & Practice Group Affiliations

Spokane Eye Clinic Ps

427 S Bernard St, Spokane, WA 992042509

Phone: 5094560107

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Jeffery Snow , MD

Ophthalmology

NPI 1003814021

Doctor of Medicine (M.D.)

Dr. Robert Wirthlin , MD

Ophthalmology

NPI 1013973254

Doctor of Medicine (M.D.)

Dr. Rachel Gilles , OD

Optometrist

NPI 1033696455

Doctor of Optometry

Dr. Thomas Riley , OD

Optometrist

NPI 1104846336

Doctor of Optometry

Dr. Jennifer Kerns , OD

Optometrist

NPI 1144228982

Doctor of Optometry

Dr. Danielle Schleicher , OD

Optometrist

NPI 1174107015

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location March 01, 2023

Registered at 427 S BERNARD ST, SPOKANE, WA 992042509 (Tel: 5094560107)

✅

NPI Profile Active February 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 27, 2015

Registered at 101 W 8TH AVE, SPOKANE, WA 992042307 (Tel: 5094743020)

📍

Updated Business Mailing Address February 27, 2015

Registered at 427 S BERNARD ST, SPOKANE, WA 992042509 (Tel: 5094560107)

👤

Provider Name / Credentials Updated February 27, 2015

Recorded as LOREN JACK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2015

Ophthalmology (License #60524950 in WA)

🟢

Initial NPI Registration & Enumeration October 14, 2009

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: 1306171970

Entity Type:

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

Enumeration Date: October 14, 2009

Last Update: August 01, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

427 S Bernard St

Spokane, WA 992042509

Phone: 5094560107

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.