DR. JORDAN BRETT BALLANTYNE (O.D.) – Optometrist, NPI 1326352212
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
857 OPTOMETRY in CO
Provider Addresses for DR. JORDAN BRETT BALLANTYNE (O.D.)
PO BOX 305
LA JUNTA, CO 810500305
Phone: (719) 383-0134
Fax: (719) 404-1825
Type: Mailing
302 W 3RD ST
LA JUNTA, CO 810501430
Phone: (719) 383-0134
Fax: (719) 404-1825
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $135.
Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Apellis Pharmaceuticals, Inc. ($98).
Total Amount
$135
General + Research + Ownership
Payments
3
Total payment records
General Amount
$135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Apellis Pharmaceuticals, Inc. | $98 |
| Astellas Pharma US Inc | $21 |
| 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: 2011-06-22
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20110622000308 | I | Optometry | CO | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 175 | 171 | $0 |
| 92134 | Imaging of retina | 127 | 103 | $0 |
| 92004 | New patient complete exam of visual system | 104 | 104 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 55 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 52 | $0 |
Insurance plans in this area (ZIP 81050)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | CO | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 279 | 183 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CO |
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