JACK JIAKUN TIAN (M.D.) – Ophthalmology Physician, NPI 1669907911
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,893 OPHTHALMOLOGY in NY
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Provider Addresses for JACK JIAKUN TIAN (M.D.)
178, Watermark Terrace, Hercules, Contra Costa County, California, 94547, United States
HERCULES, CA 945472658
Phone: (510) 918-8237
Type: Mailing
University of Rochester Medical Center, 601, Elmwood Avenue, Upper Mount Hope, Rochester, Monroe, New York, 14611, United States
BOX MED
ROCHESTER, NY 146420001
Phone: (585) 275-2874
Type: Location
2055 EXCHANGE ST STE 230
ASTORIA, OR 971033419
Phone: (503) 338-3803
Type: Mailing
PO BOX 50095
SEATTLE, WA 981455095
Phone: (206) 520-5700
Type: Mailing
325 9TH AVE
SEATTLE, WA 981042420
Phone: (206) 520-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $4,410.
Total Amount is formed as General ($4,410) + Research ($0) + Ownership ($0) = $4,410.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: RxSight Inc ($2,691).
Total Amount
$4,410
General + Research + Ownership
Payments
46
Total payment records
General Amount
$4,410
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| RxSight Inc | $2,691 |
| Alcon Vision LLC | $1,128 |
| BIOTISSUE HOLDINGS INC. | $267 |
| Johnson & Johnson Surgical Vision, Inc. | $160 |
| Sight Sciences, Inc. | $95 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-04-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210504002700 | I | Ophthalmology | OR | TBD |
| I20220407001644 | I | Ophthalmology | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 803 | 457 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 747 | 440 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 485 | 392 | $0 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 297 | 200 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 149 | 149 | $0 |
Insurance plans in this area (ZIP 94547)
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