JASON GERARD JEDLICKA (O.D.) – Optometrist, NPI 1669484622
Optometrist
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Profile Insights
NPPES metrics only — not quality of care.
1,126 OPTOMETRY in IN
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Provider Addresses for JASON GERARD JEDLICKA (O.D.)
744 E 3RD ST
BLOOMINGTON, IN 474053603
Phone: (812) 855-8436
Fax: (812) 855-1683
Type: Mailing
830, Dakota Point, Jordan, Scott County, Minnesota, 55352, United States
JORDAN, MN 553521441
Phone: (952) 492-3135
Fax: (952) 475-3680
Type: Mailing
school of optometry, 744, East 3rd Street, Bloomington, Monroe County, Indiana, 47401, United States
BLOOMINGTON, IN 474053603
Phone: (812) 855-8436
Fax: (812) 855-1683
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 93 Open Payments records for all available years, with a total value of $149,032.
Total Amount is formed as General ($149,032) + Research ($0) + Ownership ($0) = $149,032.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($135,596).
Total Amount
$149,032
General + Research + Ownership
Payments
93
Total payment records
General Amount
$149,032
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $135,596 |
| OCULUS, Inc. | $13,092 |
| Glaukos Corporation | $124 |
| Sun Pharmaceutical Industries Inc. | $116 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $104 |
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: 2014-10-16
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 |
|---|---|---|---|---|
| I20141016001874 | I | Optometry | IN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 26 | $0 |
| 92014 | Established patient complete exam of visual system | 12 | 12 | $0 |
Insurance plans in this area (ZIP 47405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dentist, Oral Surgery, Maxillofacial Surgery | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| - | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| Qualified Audiologist | IN | |
| Qualified Speech Language Pathologist | IN |
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