DR. JASON D RUPP (MD) – Ophthalmology Physician, NPI 1164797270
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 OPHTHALMOLOGY in UT
Provider Addresses for DR. JASON D RUPP (MD)
1483 E Ridgeline Dr Ste 100
South Ogden, UT 844054977
Phone: (801) 399-1149
Fax: (801) 399-0248
Type: Location
5991 S 3500 W Ste 400
Roy, UT 840676702
Phone: (801) 399-1149
Fax: (801) 399-0248
Type: Location
660 S EUCLID AVE
C B 8096
SAINT LOUIS, MO 631101010
Phone: (314) 362-3431
Fax: (314) 362-6564
Type: Mailing
517 S EUCLID AVE
SAINT LOUIS, MO 631101007
Phone: (314) 362-3431
Fax: (314) 362-6564
Type: Location
1493 E RIDGELINE DR STE 100
SOUTH OGDEN, UT 844054947
Phone: (801) 399-1149
Fax: (801) 399-0248
Type: Mailing
875 COUNTRY HILLS DR
OGDEN, UT 844032200
Phone: (314) 362-3431
Fax: (314) 362-6564
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $773.
Total Amount is formed as General ($773) + Research ($0) + Ownership ($0) = $773.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($194).
Total Amount
$773
General + Research + Ownership
Payments
23
Total payment records
General Amount
$773
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $194 |
| NEW WORLD MEDICAL,INC. | $169 |
| Glaukos Corporation | $136 |
| Alcon Vision LLC | $109 |
| Dompe US, Inc. | $41 |
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: 2017-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20170627001287 | I | Ophthalmology | UT | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 638 | 385 | $0 |
| 92014 | Established patient complete exam of visual system | 475 | 469 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 434 | 309 | $0 |
| 92133 | Imaging of optic nerve | 357 | 348 | $0 |
| 92083 | Exam of visual field with extended testing | 278 | 264 | $0 |
Insurance plans in this area (ZIP 84405)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | MO | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 39 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | UT | |
| O P H T H A L M O L O G Y | UT | |
| O P T O M E T R Y | AE | |
| O P H T H A L M O L O G Y | UT | |
| O P H T H A L M O L O G Y | UT | |
| - | UT |
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