JACQUE DIANE YOUNG (OD) – Optometrist, NPI 1174503734

JACQUE DIANE YOUNG (OD) is a healthcare provider. based in Glenwood, Iowa. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1809 (IA). The NPI Number for JACQUE DIANE YOUNG (OD) is 1174503734

Main info

Female
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
JACQUE DIANE YOUNG (OD)
NPI
1174503734
Phone
(712) 527-4468
Address
PO BOX 188
Enumeration Date
19 January 2006
Last Update Date
28 September 2011

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7125274468
Graduation Year
1983 (43 years ago)
PAC ID
0749246056
Group Practice PAC ID
6406227305
Professional Enrollment ID
I20041208000846
Address ID
IA515341706GL406XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

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Provider Addresses for JACQUE DIANE YOUNG (OD)

  • Glenwood, Newport, The Municipal District of Nenagh, County Tipperary, Munster, V94 W6WC, Ireland

    406 1ST STREET

    GLENWOOD, IA 515340188

    Phone: (712) 527-4468

    Fax: (712) 527-9458

    Type: Mailing

  • 406, 1st Street, Glenwood, Mills County, Iowa, 51534, United States

    GLENWOOD, IA 515341706

    Phone: (712) 527-4468

    Fax: (712) 527-9458

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($180).

Total Amount

$201

General + Research + Ownership

Payments

3

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-06

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: 2004-12-08

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
I20041208000846IOptometryIATBD

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 system174170$0
92083Exam of visual field with extended testing170140$0
92133Imaging of optic nerve121112$0
99214Established patient office or other outpatient visit, 30-39 minutes8773$0
92134Imaging of retina6351$0
View full utilization report →

Insurance plans in this area (ZIP 51534)

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Provider's Procedures

JACQUE DIANE YOUNG (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIA92134Diagnostic imaging of retina6338

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: 6406227305View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YIA

Reviews

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Frequently asked questions

What number should I use to identify JACQUE DIANE YOUNG (OD) for billing?
Administrative and clinical systems typically use NPI 1174503734 for JACQUE DIANE YOUNG (OD).
Quick check: is JACQUE DIANE YOUNG (OD) active?
Public NPPES data shows JACQUE DIANE YOUNG (OD) with an active NPI status right now.
What does the directory say JACQUE DIANE YOUNG (OD) does?
Insurance directories may phrase it differently, but here JACQUE DIANE YOUNG (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit JACQUE DIANE YOUNG (OD) in Glenwood, Iowa?
For routing, start with Glenwood, Iowa for JACQUE DIANE YOUNG (OD), then verify phone and hours locally.
Can I export JACQUE DIANE YOUNG (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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