DR. JASON GOLDBERG (M.D.) – Ophthalmology Physician, NPI 1093161655
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
565 OPHTHALMOLOGY in VA
Provider Addresses for DR. JASON GOLDBERG (M.D.)
2016 MEADE PKWY
SUFFOLK, VA 234344259
Phone: (757) 539-1533
Type: Mailing
420 DELAWARE ST SE
MINNEAPOLIS, MN 554550341
Phone: (612) 625-4400
Fax: (202) 877-7743
Type: Mailing
Bambini's Coffee, 2450, Riverside Avenue, Phillips, Minneapolis, Hennepin County, Minnesota, 55454, United States
MINNEAPOLIS, MN 554541450
Phone: (612) 672-6000
Type: Location
100 EMANCIPATION DR
HAMPTON, VA 236670001
Phone: (757) 722-9961
Type: Location
3433 GREEN PINE LN
VIRGINIA BEACH, VA 234525902
Phone: (757) 689-7923
Fax: (718) 682-3968
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $97.
Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($97).
Total Amount
$97
General + Research + Ownership
Payments
1
Total payment records
General Amount
$97
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mallinckrodt Hospital Products Inc. | $97 |
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: 2021-07-14
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 |
|---|---|---|---|---|
| I20210714000614 | I | Ophthalmology | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23434)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | VA | |
| O P H T H A L M O L O G Y | VA | |
| O P T O M E T R Y | VA | |
| O P H T H A L M O L O G Y | VA | |
| Physician Assistant | VA | |
| O P T O M E T R Y | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.