DR. PAUL SCOTT JENSEN (O.D.) – Optometrist, NPI 1891792370
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,098 OPTOMETRY in WA
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Provider Addresses for DR. PAUL SCOTT JENSEN (O.D.)
112, Pelly Avenue North, North Renton, Renton, King County, Washington, 98057, United States
RENTON, WA 980575713
Phone: (425) 255-2020
Fax: (425) 255-2028
Type: Location
P.O. BOX 353
RENTON, WA 980570353
Phone: (425) 255-2020
Fax: (425) 255-2028
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $2,298.
Total Amount is formed as General ($2,298) + Research ($0) + Ownership ($0) = $2,298.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($2,157).
Total Amount
$2,298
General + Research + Ownership
Payments
13
Total payment records
General Amount
$2,298
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS INC. | $2,157 |
| Tarsus Pharmaceuticals, Inc. | $100 |
| LKC Technologies, Inc. | $25 |
| BIOTISSUE HOLDINGS, INC. | $16 |
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: 2005-04-05
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 |
|---|---|---|---|---|
| I20050405000222 | I | Optometry | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 198 | 181 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 134 | 97 | $0 |
| 92250 | Photography of the retina | 60 | 57 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 49 | 40 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 38 | 24 | $0 |
Insurance plans in this area (ZIP 98057)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | WA | 92083 | Measurement of field of vision during daylight conditions | 25 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WA |
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