DR. JORDAN PAUL PETROSKY (OD) – Optometrist, NPI 1942793484
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,055 OPTOMETRY in FL
Provider Addresses for DR. JORDAN PAUL PETROSKY (OD)
11151 STATE ROAD 70 E
LAKEWOOD RANCH, FL 342028405
Phone: (941) 739-5959
Fax: (941) 756-1925
Type: Mailing
7614 Citrus Blossom Dr
Land O Lakes, FL 346377470
Phone: (941) 276-4978
Type: Location
Bay Pines, Pinellas County, Florida, United States
BAY PINES, FL 337448200
Phone: (727) 398-6661
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $504.
Total Amount is formed as General ($504) + Research ($0) + Ownership ($0) = $504.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Johnson & Johnson Surgical Vision, Inc. ($131).
Total Amount
$504
General + Research + Ownership
Payments
13
Total payment records
General Amount
$504
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
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: 2019-08-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190813003439 | I | Optometry | FL | 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 | 96 | 96 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 55 | $0 |
| 92083 | Exam of visual field with extended testing | 50 | 38 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 37 | 29 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 35 | 23 | $0 |
Insurance plans in this area (ZIP 34202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | WI |
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