DR. JENNIFER DENHARTOG (O.D.) – Optometrist, NPI 1285682245
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
503 OPTOMETRY in IA
Provider Addresses for DR. JENNIFER DENHARTOG (O.D.)
12695 UNIVERSITY AVE STE 170
CLIVE, IA 503258217
Phone: (515) 512-1444
Fax: (515) 512-1440
Type: Location
148th Street, Deer Ridge West, Urbandale, Walnut Township, Dallas County, Iowa, 50323, United States
URBANDALE, IA 503232074
Phone: (515) 210-9900
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $2,579.
Total Amount is formed as General ($2,579) + Research ($0) + Ownership ($0) = $2,579.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Lumenis BE inc ($1,000).
Total Amount
$2,579
General + Research + Ownership
Payments
57
Total payment records
General Amount
$2,579
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lumenis BE inc | $1,000 |
| Tarsus Pharmaceuticals, Inc. | $294 |
| Johnson & Johnson Vision Care, Inc. | $289 |
| Dompe US, Inc. | $161 |
| Bausch & Lomb Americas Inc. | $160 |
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: 2010-07-23
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 |
|---|---|---|---|---|
| I20100723000888 | 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 | 140 | 140 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 46 | $0 |
| 83861 | Microfluid analysis of tears | 32 | 16 | $0 |
| 83516 | Analysis of substance using immunoassay technique, multiple step method | 30 | 15 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 29 | 25 | $0 |
Insurance plans in this area (ZIP 50325)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TN |
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