JACOB WEBSTER (OD) – Optometrist, NPI 1306454616

JACOB WEBSTER (OD) is a healthcare provider. based in Harrodsburg, Kentucky. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2185DT (KY). The NPI Number for JACOB WEBSTER (OD) is 1306454616

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JACOB WEBSTER (OD)
NPI
1306454616
Phone
(859) 734-3155
Address
201 S Main St
Enumeration Date
22 July 2020
Last Update Date
22 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
85973755990
Graduation Year
2020 (6 years ago)
PAC ID
7911322706
Group Practice PAC ID
1658492152
Professional Enrollment ID
I20200811001525
Address ID
KY403919591WI130XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

Provider Addresses for JACOB WEBSTER (OD)

  • 201 S Main St

    Harrodsburg, KY 403301634

    Phone: (859) 734-3155

    Type: Location

  • 130 HOSPITAL DR

    WINCHESTER, KY 403919591

    Phone: (859) 737-5599

    Fax: (859) 737-0650

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $670.

Total Amount is formed as General ($670) + Research ($0) + Ownership ($0) = $670.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($127).

Total Amount

$670

General + Research + Ownership

Payments

23

Total payment records

General Amount

$670

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2020-08-11

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
I20200811001525IOptometryKYTBD

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 minutes6432$0
92004New patient complete exam of visual system3030$0
92014Established patient complete exam of visual system2929$0
92134Imaging of retina1212$0
View full utilization report →

Insurance plans in this area (ZIP 40330)

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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: 1658492152View full group profile
NameSpecialtyState
O P T O M E T R YKY
-KY

Reviews

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Frequently asked questions

What federal number belongs to JACOB WEBSTER (OD)?
The federal identifier for JACOB WEBSTER (OD) is NPI 1306454616.
Is JACOB WEBSTER (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JACOB WEBSTER (OD) work in?
You can think of JACOB WEBSTER (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for JACOB WEBSTER (OD)?
We surface Harrodsburg, Kentucky for JACOB WEBSTER (OD) based on available NPPES addresses.
How can I contact JACOB WEBSTER (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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