JESSICA DESHAE THOMPSON (OD) – Optometrist, NPI 1114604501

JESSICA DESHAE THOMPSON (OD) is a healthcare provider. based in Hazard, Kentucky. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2338DT (KY). The NPI Number for JESSICA DESHAE THOMPSON (OD) is 1114604501

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA DESHAE THOMPSON (OD)
NPI
1114604501
Phone
(606) 436-2020
Address
161 Citizens Ln
Enumeration Date
28 June 2023
Last Update Date
28 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6064363313
Graduation Year
2020 (6 years ago)
PAC ID
8729448592
Group Practice PAC ID
5698716132
Professional Enrollment ID
I20230712003446
Address ID
KY417011352HA161XXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

Provider Addresses for JESSICA DESHAE THOMPSON (OD)

  • 161 Citizens Ln

    Hazard, KY 417011352

    Phone: (606) 436-2020

    Fax: (606) 439-0111

    Type: Location

  • 503 N MAIN ST

    LONDON, KY 407411217

    Phone: (606) 877-1877

    Fax: (606) 878-9543

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $101.

Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($48).

Total Amount

$101

General + Research + Ownership

Payments

6

Total payment records

General Amount

$101

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2023-07-12

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
I20230712003446IOptometryKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes112102$0
92014Established patient complete exam of visual system4444$0
99214Established patient office or other outpatient visit, 30-39 minutes3939$0
92134Imaging of retina3332$0
92004New patient complete exam of visual system2929$0
View full utilization report →

Insurance plans in this area (ZIP 41701)

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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: 5698716132View full group profile
NameSpecialtyState
-KY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P H T H A L M O L O G YKY
-KY
-KY
O P T O M E T R YKY
O P H T H A L M O L O G YKY
O P T O M E T R YKY

Reviews

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Frequently asked questions

Does JESSICA DESHAE THOMPSON (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JESSICA DESHAE THOMPSON (OD) uses 1114604501.
Is JESSICA DESHAE THOMPSON (OD) still practicing?
JESSICA DESHAE THOMPSON (OD) is currently listed as active in the public NPI registry.
What is JESSICA DESHAE THOMPSON (OD)'s specialty?
The listing groups JESSICA DESHAE THOMPSON (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect JESSICA DESHAE THOMPSON (OD) on a map?
Expect Hazard, Kentucky as a primary anchor for JESSICA DESHAE THOMPSON (OD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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