Jesse Shane Pelletier, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME99313 Issued in FL

Practice address

1400 NE Miami Gardens Dr
Suite 203
North Miami Beach, FL 33179-4845

Phone

(305) 940-1500

Fax

(305) 940-1501

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, VI2 enrollments

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 2

Specialty

Ophthalmology

Education

New York Medical College, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ocean Ophthalmology GroupGroup PAC ID 2860553724, 3 clinicians

Ophthalmology Consultants, PCGroup PAC ID 9739340233, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.92 of 100Reported as group

Quality

95

Improvement activities

40

Cost

79.73

Merit-based Incentive Payment System (MIPS)

Final score

94.95 of 100Reported as group

Quality

92.42

Improvement activities

40

Cost

93.26

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jesse.pelletier@plessenophthalmology.direct.eyemdemr.com

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.

• Ocean Ophthalmology Group

  • Ophthalmology Physician
  • North Miami Beach, FL
  • NPI 1457507691

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Ophthalmology Consultants, PC

  • Ophthalmology Physician
  • Christiansted, VI
  • NPI 1699045849

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• University of Miami

  • Ambulatory Surgical Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1346317039
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1952440372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NE MIAMI GARDENS DR STE 203",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794844",
            "telephone_number": "305-940-1500",
            "fax_number": "305-940-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NE MIAMI GARDENS DR",
            "address_2": "SUITE 203",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794845",
            "telephone_number": "305-940-1500",
            "fax_number": "305-940-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3006 Orange Grove",
            "address_purpose": "LOCATION",
            "city": "Christiansted",
            "state": "VI",
            "postal_code": "00820",
            "country_code": "US",
            "telephone_number": "340-773-2015",
            "fax_number": "340-719-9590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "JESSE",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME99313",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "VI",
            "license": "1898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279056400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Florida, Inc
• Gretchen Pedraza Diaz, RBT
• Lorena Pego
• Hector Gregorio Peguero de Leon
• Clara Peicher de Fleischer, LMHC
• Penate Adult Daycare 5 LLC
• Penate Medical Center 5 LLC
• Penate Pharmacy LLC
• Chantal C Penn
• Penstar Family Wellness Inc

• Ophthalmology Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.