Individual provider Active NPI

Jason Edward Ysasaga, M.D.

  • Ophthalmology Physician
  • Amarillo, TX
National Provider Identifier
1356310734
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L4182 Issued in TX
Practice address
7411 Wallace Blvd
Amarillo, TX 79106-1835
Phone
(806) 351-1870
Fax
(806) 355-1284
NPI assigned
Mar 16, 2006
Last updated
Aug 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X L4182 TX Primary

Addresses

Primary practice location

7411 Wallace Blvd
Amarillo, TX 79106-1835

Mailing address

PO Box 50720
Amarillo, TX 79159-0720
Phone (806) 467-0459

Other identifiers 3

IdentifierTypeStateIssuer
150770901MedicaidTX
150770903MedicaidTX
8G3580OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100619000024 TX Practitioner - Ophthalmology 1759345473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at San Antonio, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panhandle Eye Group, LLPGroup PAC ID 6204818776, 11 clinicians

Practice addresses (Care Compare)

7411 Wallace Blvd
Amarillo, TX 79106-1835
Phone (806) 351-1870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.16 of 100Reported as group
Quality
83.25
Promoting interoperability
92
Improvement activities
40
Cost
77.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4182TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Panhandle Eye Group, LLP Ophthalmology CurrentSince Aug 1, 2002 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

7400 Fleming Ave
Amarillo, TX 79106
Phone (806) 331-2510

7411 Wallace Blvd
Amarillo, TX 79106
Phone (806) 351-1177

Interoperability endpoints

  • Direct secure messaging: edward.ysasaga@direct.paneye.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1356310734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50720",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791590720",
            "telephone_number": "806-467-0459",
            "fax_number": "806-355-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061835",
            "telephone_number": "806-351-1870",
            "fax_number": "806-355-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YSASAGA",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L4182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150770901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150770903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G3580",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.