Jay Borgholthaus, OD
NPI 1952353716 · Optometrist · Pocatello, ID
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jay Borgholthaus, OD is a Optometrist provider in Pocatello, ID (NPI 1952353716).
Provider details
- NPI number
- 1952353716
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ODP-865 (ID)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
385 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Photography of the Retina92250 | 127 | $34 |
| Established Patient Complete Exam of Visual System92014 | 87 | $116 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 44 | $84 |
| New Patient Complete Exam of Visual System92004 | 34 | $138 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 26 | $96 |
| Extended Exam Involving Color Vision Testing92283 | 22 | $45 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Latanoprost | 19 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$512 across 19 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-17
- Last updated
- 2016-06-22
Frequently asked questions
- What is Jay Borgholthaus's NPI number?
- Jay Borgholthaus's National Provider Identifier (NPI) is 1952353716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jay Borgholthaus's specialty?
- Jay Borgholthaus is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Jay Borgholthaus located?
- Jay Borgholthaus's practice location on file with NPPES is 301 S 4th Ave # C-2, Pocatello, ID 83201-6462.
- What is Jay Borgholthaus's phone number?
- The practice phone number listed in the NPPES registry for Jay Borgholthaus is (208) 637-0841.
- Does Jay Borgholthaus accept Medicare?
- Jay Borgholthaus is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jay Borgholthaus's NPI active?
- Yes — Jay Borgholthaus's NPI (1952353716) is active in the NPPES registry as of the last update on 2016-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.