DR. JEREMY DANIEL EDGERLY (O.D.) – Optometrist, NPI 1003177296

DR. JEREMY DANIEL EDGERLY (O.D.) is a healthcare provider. based in Cullman, Alabama. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. S-C78 (AL). The NPI Number for DR. JEREMY DANIEL EDGERLY (O.D.) is 1003177296

Main info

Male
Sole Proprietor
14 Years Of Experience
Name
DR. JEREMY DANIEL EDGERLY (O.D.)
NPI
1003177296
Phone
Not provided
Address
1400 WALL ST
Enumeration Date
4 June 2012
Last Update Date
4 May 2026

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2563506655
Graduation Year
2012 (14 years ago)
PAC ID
4880838390
Group Practice PAC ID
4082733258
Professional Enrollment ID
I20130924000569
Address ID
AL356032500DE2620XSWXX400
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

Provider Addresses for DR. JEREMY DANIEL EDGERLY (O.D.)

  • 1400 WALL ST

    CULLMAN, AL 350556011

    Phone:

    Type: Mailing

  • 921 JEMISON LN

    MOUNTAIN BROOK, AL 352233003

    Phone: (205) 341-9595

    Fax: (205) 341-9941

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $520.

Total Amount is formed as General ($520) + Research ($0) + Ownership ($0) = $520.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Optos, Inc. ($395).

Total Amount

$520

General + Research + Ownership

Payments

9

Total payment records

General Amount

$520

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-09-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130924000569IOptometryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5543$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 35055)

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Provider's Procedures

DR. JEREMY DANIEL EDGERLY (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYAL92083Measurement of field of vision during daylight conditions1313

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082733258View full group profile
NameSpecialtyState
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL
-TX
O P T O M E T R YAL
O P T O M E T R YAL

Reviews

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Frequently asked questions

What identifier follows DR. JEREMY DANIEL EDGERLY (O.D.) across health systems?
The NPI 1003177296 uniquely identifies DR. JEREMY DANIEL EDGERLY (O.D.) in U.S. healthcare data.
Is DR. JEREMY DANIEL EDGERLY (O.D.)'s NPI status active today?
Active status means DR. JEREMY DANIEL EDGERLY (O.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. JEREMY DANIEL EDGERLY (O.D.)?
NPPES ties DR. JEREMY DANIEL EDGERLY (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JEREMY DANIEL EDGERLY (O.D.)?
The directory associates DR. JEREMY DANIEL EDGERLY (O.D.) with Cullman, Alabama. Check all listed addresses for suites or satellite offices.
Who maintains DR. JEREMY DANIEL EDGERLY (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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