Edward J. Jagela, O.D., F.A.A.O.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4201/T497 Issued in OH

Practice address

4100 Johnson Rd
Suite 204
Steubenville, OH 43952-2356

Phone

(740) 283-3937

Fax

(740) 283-1858

NPI assigned

Sep 13, 2005

Reactivated

Mar 29, 2006

Sex

Male

Sole proprietor

Yes

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.

• Edward J Jagela OD Faao Professional LLC

  • Optometrist
  • Steubenville, OH
  • NPI 1144422361

  OH, Optometrist, WV

  Medicare reassignment Care Compare group NPD
• Lee Eye Center Inc

  • Ophthalmology Physician
  • Youngstown, OH
  • NPI 1023187630

  WV

  Medicare reassignment
• Everett & Hurite Ophthalmic Association

  • Ophthalmology Physician
  • Pittsburgh, PA
  • NPI 1225146228
  NPD
• Juginder K Luthra MD Inc

  • Ophthalmology Physician
  • Weirton, WV
  • NPI 1992733505
  NPD (past)

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

• Trinity Hospital Holding Company

  • General Acute Care Hospital
  • Steubenville, OH
  • NPI 1285715144

  Hospital

  Care Compare affiliation

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edward J Jagela OD Faao 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Medical Ctr East &Trinity Medical Ctr West Hospital, Steubenville, OH, CCN 360211

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Merit-based Incentive Payment System (MIPS)

Final score

82.62 of 100Reported as group

Quality

80.75

Promoting interoperability

78

Improvement activities

40

Cost

79.67

Medicare fee-for-service enrollment

Enrolled in WV, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ejagela642528@direct.wvuhsdirect.com

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1710972005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON RD",
            "address_2": "SUITE 204",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522356",
            "telephone_number": "740-283-3937",
            "fax_number": "740-283-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON RD",
            "address_2": "SUITE 204",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522356",
            "telephone_number": "740-283-3937",
            "fax_number": "740-283-1858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 American Way # 1",
            "address_purpose": "LOCATION",
            "city": "Weirton",
            "state": "WV",
            "postal_code": "260624080",
            "country_code": "US",
            "telephone_number": "740-283-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAGELA",
        "first_name": "EDWARD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2019-05-16",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4201/T497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000213650",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149838001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUR OF WC (BRICKSTREET)",
            "identifier": "1068565",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007520120",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0898953",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BC/BS",
            "identifier": "001720035",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "0898953",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "4201T497",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith T. Jackson, PT
• Susannah Rose Jackson, PA
• Zachary Jackson, DO
• Joanna Sarah Jacob, MBBS
• Jenna M Jafrate, CRNA
• Nasrollah Jahdi, MD
• Muhammad Shah Wali Jamal, M.D.
• James M Vodvarka DO
• Michael Jarecki, LMHP
• Megan Marie Jarvis, MA LPC

• All providers in Steubenville, OH
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.