LISA JACOBSON (OD) – Optometrist, NPI 1588762595
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,116 OPTOMETRY in MA
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Provider Addresses for LISA JACOBSON (OD)
204, Tudor Road, Birds Hill, Needham Heights, Needham, Norfolk County, Massachusetts, 02494, United States
NEEDHAM, MA 024924312
Phone: (781) 444-5435
Type: Mailing
400, Hillside Avenue, Needham Heights, Needham, Norfolk County, Massachusetts, 02494-1320, United States
NEEDHAM, MA 024941263
Phone: (781) 444-6610
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $449.
Total Amount is formed as General ($449) + Research ($0) + Ownership ($0) = $449.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($208).
Total Amount
$449
General + Research + Ownership
Payments
8
Total payment records
General Amount
$449
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-02-06
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 |
|---|---|---|---|---|
| I20040206000121 | I | Optometry | MA | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 52 | 42 | $0 |
| 92014 | Established patient complete exam of visual system | 47 | 46 | $0 |
| 92250 | Photography of the retina | 32 | 32 | $0 |
| 92004 | New patient complete exam of visual system | 22 | 22 | $0 |
Insurance plans in this area (ZIP 02492)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | MA |
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