Doctor profile · Federal record
Dr. Robert Jack, M.D.
Ophthalmology Physician (CMS: Ophthalmology) · Los Angeles, CA
- NPI 1154338515
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 31 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
8717 la Tijera Blvd
Los Angeles, CA 900453906
(310) 645-4393
fax (310) 645-4508
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 207W00000X — NUCC code
- State license (1)
- California #A63108
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154338515. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,076
Distinct HCPCS
10
Medicare allowed
$143,562
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92014 |
Established patient complete exam of visual system | 452 | 311 | $135 | |
92012 |
Established patient problem focused exam of visual system | 203 | 131 | $96 | |
92004 |
New patient complete exam of visual system | 72 | 72 | $158 | |
J9035 |
Injection, bevacizumab, 10 mg | 68 | 19 | $69 | |
67028 |
Injection of drug into eye | 67 | 19 | $118 | |
76519 |
Ultrasound scan to determine eye length and lens power | 48 | 48 | $73 | |
92083 |
Exam of visual field with extended testing | 37 | 35 | $67 | |
92133 |
Imaging of optic nerve | 37 | 37 | $39 | |
66821 |
Removal of recurring cataract in lens capsule using a laser | 34 | 26 | $346 | |
66984 |
Removal of cataract with insertion of prosthetic lens | 34 | 28 | $559 |
In context: peer comparison
Among 92 peers in this city , average services per provider: 277. This provider delivers 3.9× the peer median.Open Payments
Industry payments received
All-time total
$483
Transactions
12
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Alcon Vision LLC | 10 | $403.66 | |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $47.60 | |
| Dompe US, Inc. | 1 | $31.25 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
245
Patients
89
Total drug cost
$7,979
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 87 | 23 | $2,908 |
| Prednisolone Acetate | Generic | 37 | 24 | $1,770 |
| Timolol Maleate | Generic | 36 | 0 | $467 |
| Ketorolac Tromethamine | Generic | 20 | 14 | $975 |
| Brimonidine Tartrate | Generic | 17 | 0 | $218 |
| Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) | Brand | 17 | 0 | $813 |
| Moxifloxacin (Moxifloxacin Hcl) | Brand | 17 | 14 | $507 |
| Acetazolamide | Generic | 14 | 14 | $321 |
Frequently asked questions
What is Dr. Robert Jack's medical specialty?
Dr. Robert Jack practices Ophthalmology Physician in Los Angeles, CA.
Where does Dr. Robert Jack practice?
Dr. Robert Jack practices at 8717 la Tijera Blvd, Los Angeles, CA 900453906. Office phone: 3106454393.
What is Dr. Robert Jack's NPI?
Dr. Robert Jack's National Provider Identifier (NPI) is 1154338515, issued by NPPES.
Does Dr. Robert Jack accept Medicare assignment?
Yes. Dr. Robert Jack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Robert Jack commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); Established patient problem focused exam of visual system (HCPCS 92012); New patient complete exam of visual system (HCPCS 92004). Source: CMS Medicare Physician & Other Practitioners file.