DR. JASON D RUPP MD NPI 1164797270

NPI Information

  • NPI: 1164797270
  • Provider Name: DR. JASON D RUPP, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 875 COUNTRY HILLS DR
    OGDEN, UT
    ZIP 84403
  • Phone: (314) 362-3431

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NPI Details

DR. Jason D Rupp, MD is an ophthalmology in Ogden, UT with 14 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Jason D Rupp, MD NPI is 1164797270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

875 COUNTRY HILLS DR
OGDEN, UT
ZIP 84403-200
Phone: (314) 362-3431
Fax: (314) 362-6564

The NPI 1164797270 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Imaging of optic nerve (HCPCS:92133)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • Imaging of retina (HCPCS:92134)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Photography of the retina (HCPCS:92250)
  • New patient complete exam of visual system (HCPCS:92004)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Ct scan of cornea (HCPCS:92025)
  • Creation of shunt to improve eye fluid flow using tissue graft (HCPCS:66180)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 3/22/2012 and was last updated on 10/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology10392993-1205UTAHNo
2207W00000XOphthalmology2016010391MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11164797270MEDICAIDILLINOIS
21164797270MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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