KENNETH D JEFFERS (O.D.) – Optometrist, NPI 1104899699
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
847 OPTOMETRY in AZ
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Provider Addresses for KENNETH D JEFFERS (O.D.)
2610, East University Drive, Mesa, Maricopa County, Arizona, 85213, United States
MESA, AZ 852138436
Phone: (480) 892-8400
Fax: (480) 892-9533
Type: Mailing
Southwestern Eye Center, #560, North Camino Mercado, Casa Grande, Pinal County, Arizona, 85122, United States
STE 1
CASA GRANDE, AZ 852225759
Phone: (520) 426-9224
Fax: (520) 426-1554
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2023-12-15 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($19).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $19 |
| Alcon Vision LLC | $16 |
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: 2003-12-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031209000094 | I | Optometry | AZ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 286 | 268 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 189 | 169 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 97 | 97 | $0 |
| 92134 | Imaging of retina | 57 | 53 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 48 | 35 | $0 |
Insurance plans in this area (ZIP 85213)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | AZ | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 191 | 186 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AZ | |
| O P T O M E T R Y | AZ | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | AZ | |
| O P T O M E T R Y | AZ | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | AZ | |
| O P T O M E T R Y | AZ | |
| O P T O M E T R Y | AZ | |
| O P T O M E T R Y | AZ |
Reviews
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