DR. EDWARD T JACOBS (OPTOMETRIST) – Optometrist, NPI 1487703732
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
702 OPTOMETRY in KY
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Provider Addresses for DR. EDWARD T JACOBS (OPTOMETRIST)
1, North Maysville Street, Mount Sterling, Montgomery County, Kentucky, 40353, United States
MOUNT STERLING, KY 403531315
Phone: (859) 498-6001
Fax: (859) 497-0222
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 6 Open Payments records for all available years, with a total value of $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Alcon Vision LLC ($55).
Total Amount
$128
General + Research + Ownership
Payments
6
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $55 |
| RxSight Inc | $36 |
| ABB Con-Cise Optical Group LLC | $23 |
| ABBVIE INC. | $14 |
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: 2004-06-11
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20040611000691 | I | Optometry | KY | 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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 4,629 | 34 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 145 | 144 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 129 | 91 | $0 |
| 92134 | Imaging of retina | 60 | 57 | $0 |
| 92250 | Photography of the retina | 40 | 40 | $0 |
Insurance plans in this area (ZIP 40353)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | KY | |
| - | KY |
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