JONATHAN REDDELL (O.D.) – Optometrist, NPI 1982982013

JONATHAN REDDELL (O.D.) is a healthcare provider. based in Leavenworth, Kansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1900 (KS). The NPI Number for JONATHAN REDDELL (O.D.) is 1982982013

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN REDDELL (O.D.)
NPI
1982982013
Phone
(913) 682-2929
Address
2301 10TH AVE
Enumeration Date
22 July 2011
Last Update Date
22 July 2011

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9136822929
Graduation Year
2011 (15 years ago)
PAC ID
1951573856
Group Practice PAC ID
5890747711
Professional Enrollment ID
I20111019000679
Address ID
KS660484214LE2301XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

532 OPTOMETRY in KS

Provider Addresses for JONATHAN REDDELL (O.D.)

  • 2301 10TH AVE

    LEAVENWORTH, KS 660484214

    Phone: (913) 682-2929

    Fax: (913) 682-2999

    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 5 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($77).

Total Amount

$130

General + Research + Ownership

Payments

5

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2011-10-19

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
I20111019000679IOptometryKSTBD

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 system877707$0
92083Exam of visual field with extended testing257173$0
92250Photography of the retina246185$0
92134Imaging of retina171123$0
92012Established patient problem focused exam of visual system141100$0
View full utilization report →

Insurance plans in this area (ZIP 66048)

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Provider's Procedures

JONATHAN REDDELL (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYKS92083Measurement of field of vision during daylight conditions2619

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: 5890747711View full group profile
NameSpecialtyState
O P T O M E T R YKS
O P T O M E T R YMN
O P T O M E T R YNE
O P T O M E T R YWI

Reviews

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Frequently asked questions

How is JONATHAN REDDELL (O.D.) identified in CMS data?
CMS-hosted NPPES data lists JONATHAN REDDELL (O.D.) with NPI 1982982013.
Is JONATHAN REDDELL (O.D.) listed as active for patients and plans?
The listing shows JONATHAN REDDELL (O.D.) as active in the NPI system.
What is JONATHAN REDDELL (O.D.)'s specialty?
The listing groups JONATHAN REDDELL (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does JONATHAN REDDELL (O.D.) list a practice location?
Patients near Leavenworth, Kansas may find JONATHAN REDDELL (O.D.) in results; validate coverage separately.
Why does JONATHAN REDDELL (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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