DR. JACOB ADAM MONG (D.O.) – Ophthalmology Physician, NPI 1346535481
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
343 OPHTHALMOLOGY in OR
Provider Addresses for DR. JACOB ADAM MONG (D.O.)
350 East Ln S
Ontario, OR 979143058
Phone: (208) 377-3937
Fax: (208) 377-4559
Type: Location
3025 W Cherry Ln Ste 207
Meridian, ID 836428530
Phone: (208) 377-3937
Fax: (208) 377-9455
Type: Location
5680 W GAGE ST
BOISE, ID 837061326
Phone: (208) 377-3937
Fax: (208) 377-9455
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $1,577.
Total Amount is formed as General ($1,577) + Research ($0) + Ownership ($0) = $1,577.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alcon Vision LLC ($773).
Total Amount
$1,577
General + Research + Ownership
Payments
40
Total payment records
General Amount
$1,577
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $773 |
| Bausch & Lomb Americas Inc. | $328 |
| Glaukos Corporation | $206 |
| Carl Zeiss Meditec USA, Inc. | $154 |
| Harrow Eye, LLC | $36 |
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: 2023-08-14
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 |
|---|---|---|---|---|
| I20150622002594 | I | Ophthalmology | ID | TBD |
| I20230814000745 | I | Ophthalmology | OR | 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 | 343 | 208 | $0 |
| 92012 | Established patient problem focused exam of visual system | 341 | 186 | $0 |
| 92134 | Imaging of retina | 339 | 326 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 291 | 291 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 239 | 237 | $0 |
Insurance plans in this area (ZIP 97914)
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Provider's Procedures
Group practice members
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Reviews
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