DR. JERRY GLEN FORD (MD) – Ophthalmology Physician, NPI 1679578363

DR. JERRY GLEN FORD (MD) is a healthcare provider. based in Tallahassee, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. ME050710 (GA). The NPI Number for DR. JERRY GLEN FORD (MD) is 1679578363

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY GLEN FORD (MD)
NPI
1679578363
Phone
(850) 878-6161
Address
2020 FLEISCHMANN RD
Enumeration Date
17 June 2005
Last Update Date
31 May 2022

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8508786161
Graduation Year
1990 (36 years ago)
PAC ID
1456311810
Group Practice PAC ID
7315900370
Professional Enrollment ID
I20101013001081
Address ID
FL323084599TA2020XRDXX300

Contacts

Secure Messaging
jerry.ford.p1@direct.eyeassociates.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

1,548 OPHTHALMOLOGY in FL

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Provider Addresses for DR. JERRY GLEN FORD (MD)

  • Eye Associates of Tallahassee, 2020, Fleischmann Road, Saint Peter, Tallahassee, Leon County, Florida, 32308, United States

    TALLAHASSEE, FL 323084599

    Phone: (850) 878-6161

    Fax: (850) 656-0200

    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 30 Open Payments records for all available years, with a total value of $623.

Total Amount is formed as General ($623) + Research ($0) + Ownership ($0) = $623.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($216).

Total Amount

$623

General + Research + Ownership

Payments

30

Total payment records

General Amount

$623

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2010-10-13

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
I20101013001081IOphthalmologyFLTBD

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 system575573$0
99213Established patient office or other outpatient visit, 20-29 minutes400271$0
99214Established patient office or other outpatient visit, 30-39 minutes203194$0
92136Measurement of corneal curvature and depth of eye157103$0
66984Removal of cataract with insertion of prosthetic lens13278$0
View full utilization report →

Insurance plans in this area (ZIP 32308)

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Provider's Procedures

DR. JERRY GLEN FORD (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYFL92012Eye and medical examination for diagnosis and treatment, established patient185170
OPHTHALMOLOGYFL92083Measurement of field of vision during daylight conditions3635
OPHTHALMOLOGYFL92134Diagnostic imaging of retina1615

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: 7315900370View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
-FL
O P H T H A L M O L O G YFL
O P T O M E T R YVA
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

What federal number belongs to DR. JERRY GLEN FORD (MD)?
The federal identifier for DR. JERRY GLEN FORD (MD) is NPI 1679578363.
Is DR. JERRY GLEN FORD (MD)'s NPI currently valid?
The extract we use shows DR. JERRY GLEN FORD (MD) as active.
Does DR. JERRY GLEN FORD (MD) list a primary specialty?
If you are matching referrals, note Ophthalmology Physician for DR. JERRY GLEN FORD (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JERRY GLEN FORD (MD)?
The page summarizes Tallahassee, Florida for DR. JERRY GLEN FORD (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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