JESSE TERRELL – Ophthalmology Physician, NPI 1578143715

JESSE TERRELL is a healthcare provider. based in Miami, Florida. specializing in OPHTHALMOLOGY. They hold a License No. ME173261 (FL). The NPI Number for JESSE TERRELL is 1578143715

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JESSE TERRELL
NPI
1578143715
Phone
Not provided
Address
900 NW 17TH ST
Enumeration Date
12 April 2021
Last Update Date
22 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3052435554
Graduation Year
2021 (5 years ago)
PAC ID
0648785634
Group Practice PAC ID
3274795109
Professional Enrollment ID
I20250717002415
Address ID
FL331361119MI900XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,552 OPHTHALMOLOGY in FL

Provider Addresses for JESSE TERRELL

  • 900 NW 17TH ST

    MIAMI, FL 331361119

    Phone:

    Type: Mailing

  • 4395 LAKE ASHBY RD

    NEW SMYRNA BEACH, FL 321685204

    Phone: (386) 847-9321

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $545.

Total Amount is formed as General ($545) + Research ($0) + Ownership ($0) = $545.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alcon Vision LLC ($258).

Total Amount

$545

General + Research + Ownership

Payments

8

Total payment records

General Amount

$545

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2025-07-17

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
I20250717002415IOphthalmologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33136)

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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: 3274795109View full group profile

Reviews

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Frequently asked questions

How do payers reference JESSE TERRELL?
For JESSE TERRELL, use NPI 1578143715 as the unique 10-digit identifier.
Would JESSE TERRELL appear as active to a payer?
You can treat JESSE TERRELL as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JESSE TERRELL?
JESSE TERRELL is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JESSE TERRELL?
Directory geography for JESSE TERRELL centers on Miami, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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