DR. JESSE DAVID WESTRUM (O.D.) – Optometrist, NPI 1093001091
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
503 OPTOMETRY in IA
Provider Addresses for DR. JESSE DAVID WESTRUM (O.D.)
315E 5TH ST
DES MOINES, IA 503091916
Phone: (515) 282-5005
Fax: (515) 282-2010
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 18 Open Payments records for all available years, with a total value of $636.
Total Amount is formed as General ($636) + Research ($0) + Ownership ($0) = $636.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Alcon Vision LLC ($410).
Total Amount
$636
General + Research + Ownership
Payments
18
Total payment records
General Amount
$636
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $410 |
| Glaukos Corporation | $149 |
| Johnson & Johnson Vision Care, Inc. | $52 |
| Teva Pharmaceuticals USA, Inc. | $24 |
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: 2011-10-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111013000161 | I | Optometry | IA | 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 | 11 | 11 | $0 |
Insurance plans in this area (ZIP 50309)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA | |
| Emergency Medicine | IA | |
| Family Practice | IA | |
| - | IA | |
| N E P H R O L O G Y | IA | |
| - | IA | |
| P S Y C H I A T R Y | MO | |
| Physical Therapist In Private Practice | IA | |
| - | IA |
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