Individual provider Active NPI

Jason Lange, M.D.

  • Ophthalmology Physician
  • Media, PA
National Provider Identifier
1174937775
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME133038 Issued in FL
Practice address
200 E State St Ste 105
Media, PA 19063-3434
Phone
(610) 892-1708
Fax
(610) 892-8766
NPI assigned
Jun 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME133038 FL
Surgery Physician 208600000X ME133038 FL
Ophthalmology Physician 207W00000X ME133038 FL Primary

Addresses

Primary practice location

200 E State St Ste 105
Media, PA 19063-3434

Mailing address

200 E State St Ste 105
Media, PA 19063-3434
Phone (610) 892-1708

Other practice location 1

17 Davis Blvd
Tampa, FL 33606-3475
Phone (813) 844-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028000068 PA Practitioner - Ophthalmology 6406266733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Drexel University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riddle Eye Associates P CGroup PAC ID 1254319148, 5 clinicians

Practice addresses (Care Compare)

1098 W Baltimore Pike
Media, PA 19063-5139
Phone (610) 565-6780

200 E State St
Suite 303
Media, PA 19063-3434
Phone (610) 892-1708

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.67 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
77.63

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME133038FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riddle Eye Associates P C Ophthalmology CurrentSince Sep 13, 2021 Accepting new patients
Ridley Creek Retina LLC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Riddle Eye Associates PC Past Accepting new patients

Locations

200 E State St
Ste 105
Media, PA 19063
Phone (610) 892-1708

200 E State St
Ste 303
Media, PA 19063
Phone (610) 892-1708

1098 W Baltimore Pike
Ste 3302
Media, PA 19063
Phone (610) 565-6780

Interoperability endpoints

  • Direct secure messaging: jlange@riddleeye.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1174937775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E STATE ST STE 105",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633434",
            "telephone_number": "610-892-1708",
            "fax_number": "610-892-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E STATE ST STE 105",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633434",
            "telephone_number": "610-892-1708",
            "fax_number": "610-892-8766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Davis Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063475",
            "country_code": "US",
            "telephone_number": "813-844-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGE",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME133038",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME133038",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME133038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.