Jared Paul Quesenberry, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002125 Issued in VA

Practice address

1332 Lowry St
Suite a
Bedford, VA 24523

Phone

(540) 586-9575

Fax

(540) 586-0129

NPI assigned

Jun 13, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Optometry

Education

Southern College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jared P Quesenberry OD PLLCGroup PAC ID 8022234616, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.17 of 100Reported as individual

Quality

98.33

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jared P Quesenberry, OD, PLLC

  • Optometrist
  • Bedford, VA
  • NPI 1831516608
  Medicare reassignment Care Compare group NPD Authorized official
• David M Harman MD LLC

  • Ophthalmology Physician
  • Forest, VA
  • NPI 1306950431

  Optometrist

  NPD (past)
• Kraderod LLC

  • Optometrist
  • Lynchburg, VA
  • NPI 1730789603
  NPD (past)

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1962764076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 LOWRY ST",
            "address_2": "SUITE A",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "24523",
            "telephone_number": "540-586-9575",
            "fax_number": "540-586-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 LOWRY ST",
            "address_2": "SUITE A",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "24523",
            "telephone_number": "540-586-9575",
            "fax_number": "540-586-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUESENBERRY",
        "first_name": "JARED",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145291",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ainsley Reed Price, DPT, PT
• Michelle Price, LPC
• Professional Therapies of Roanoke Inc.
• Providence Home Care Inc.
• Meredith Lynn Puryear, CCC-SLP
• Julianna Elizabeth Ranson, LPTA
• Sandra S Ratliff, MD
• Eryn Rautio
• Regal Medical Services, LTD.
• Renal Treatment Centers Mid Atlantic Inc

• Optometrist in Bedford, VA
• Providers in Bedford, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.