DR. JESSE DOVICH (M.D.) – Ophthalmology Physician, NPI 1821188996
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,668 OPHTHALMOLOGY in CA
Provider Addresses for DR. JESSE DOVICH (M.D.)
555 N 13th Ave
Upland, CA 917864904
Phone: (909) 982-8846
Type: Location
8401 GOLDEN VALLEY RD STE 330
GOLDEN VALLEY, MN 554274687
Phone: (763) 416-7600
Fax: (763) 416-7634
Type: Mailing
8401 GOLDEN VALLEY RD STE 100
GOLDEN VALLEY, MN 554274488
Phone: (763) 416-7600
Fax: (763) 416-7634
Type: Location
555, North 13th Avenue, Upland, San Bernardino County, California, 91786, United States
UPLAND, CA 917864904
Phone: (909) 982-8846
Type: Location
Redlands Post Office, 201, Brookside Avenue, Redlands, San Bernardino County, California, 92373, United States
REDLANDS, CA 923730541
Phone: (909) 558-2182
Fax: (909) 558-2180
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,143.
Total Amount is formed as General ($1,143) + Research ($0) + Ownership ($0) = $1,143.
Last reported payment date: 2024-11-23 • Largest payer in this snapshot: Glaukos Corporation ($364).
Total Amount
$1,143
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,143
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Glaukos Corporation | $364 |
| ABBVIE INC. | $253 |
| RxSight Inc | $189 |
| TearLab Corp | $189 |
| Alcon Vision LLC | $148 |
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: 2021-05-19
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20080121000123 | I | Ophthalmology | CA | TBD |
| I20210519000470 | I | Ophthalmology | MN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 384 | 304 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 219 | 155 | $0 |
| 92083 | Exam of visual field with extended testing | 208 | 159 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 170 | 129 | $0 |
| 92133 | Imaging of optic nerve | 136 | 130 | $0 |
Insurance plans in this area (ZIP 91786)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | CA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 1269 | 811 |
| OPHTHALMOLOGY | CA | 92083 | Measurement of field of vision during daylight conditions | 639 | 596 |
| OPHTHALMOLOGY | CA | 92134 | Diagnostic imaging of retina | 51 | 51 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| O P H T H A L M O L O G Y | MN | |
| O P H T H A L M O L O G Y | MN | |
| O P H T H A L M O L O G Y | MN | |
| O P H T H A L M O L O G Y | MN | |
| O P H T H A L M O L O G Y | MN | |
| O P H T H A L M O L O G Y | MI | |
| - | MN | |
| O P H T H A L M O L O G Y | MN |
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