JERRY TUCK YOUNG (OD) – Optometrist, NPI 1104857333

JERRY TUCK YOUNG (OD) is a healthcare provider. based in Jonesboro, Arkansas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2350 (AR). The NPI Number for JERRY TUCK YOUNG (OD) is 1104857333

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
JERRY TUCK YOUNG (OD)
NPI
1104857333
Phone
(870) 932-2211
Address
623 E MATTHEWS AVE
Enumeration Date
5 July 2006
Last Update Date
25 September 2024

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
8709322211
Graduation Year
1985 (41 years ago)
PAC ID
2264410760
Group Practice PAC ID
2860470374
Professional Enrollment ID
I20040712000271
Address ID
AR724013145JO623XXAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

422 OPTOMETRY in AR

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Provider Addresses for JERRY TUCK YOUNG (OD)

  • 623, East Matthews Avenue, Jonesboro, Craighead County, Arkansas, 72401, United States

    JONESBORO, AR 724013145

    Phone: (870) 932-2211

    Fax: (870) 972-5152

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $93.

Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.

Last reported payment date: 2023-09-12 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($93).

Total Amount

$93

General + Research + Ownership

Payments

1

Total payment records

General Amount

$93

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-12

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: 2004-07-12

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
I20040712000271IOptometryARTBD

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
92014Established patient complete exam of visual system437412$0
92012Established patient problem focused exam of visual system13696$0
92250Photography of the retina5754$0
92133Imaging of optic nerve4941$0
92004New patient complete exam of visual system4646$0
View full utilization report →

Insurance plans in this area (ZIP 72401)

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Provider's Procedures

JERRY TUCK YOUNG (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYAR92012Eye and medical examination for diagnosis and treatment, established patient9078

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: 2860470374View full group profile
NameSpecialtyState
O P T O M E T R YAR
-AR
O P H T H A L M O L O G YAR
O P T O M E T R YAR
O P T O M E T R YAR
O P T O M E T R YAR
O P H T H A L M O L O G YAR

Reviews

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Frequently asked questions

What is the standard ID for JERRY TUCK YOUNG (OD) in the U.S.?
In the U.S., JERRY TUCK YOUNG (OD) is identified by NPI 1104857333.
Is JERRY TUCK YOUNG (OD) currently accepting referrals based on NPI status?
Registry metadata lists JERRY TUCK YOUNG (OD) as active.
Which specialty label fits JERRY TUCK YOUNG (OD)?
NPPES ties JERRY TUCK YOUNG (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is JERRY TUCK YOUNG (OD) tied to Jonesboro, Arkansas?
If you are local to Jonesboro, Arkansas, JERRY TUCK YOUNG (OD) may be relevant to your search.
Why is information missing for JERRY TUCK YOUNG (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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