DR. JACQUELINE G LADD (O.D.) – Optometrist, NPI 1053751537
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
Provider Addresses for DR. JACQUELINE G LADD (O.D.)
302 E PITMAN ST
O FALLON, MO 633662623
Phone: (636) 272-1444
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 15 Open Payments records for all available years, with a total value of $2,764.
Total Amount is formed as General ($2,764) + Research ($0) + Ownership ($0) = $2,764.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: CooperVision Inc. ($2,563).
Total Amount
$2,764
General + Research + Ownership
Payments
15
Total payment records
General Amount
$2,764
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $2,563 |
| Johnson & Johnson Vision Care, Inc. | $117 |
| Tarsus Pharmaceuticals, Inc. | $49 |
| Bausch & Lomb Americas Inc. | $34 |
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: 2013-08-05
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 |
|---|---|---|---|---|
| I20130805000095 | I | Optometry | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 72 | $0 |
| 92020 | Exam of the internal drainage system of eye | 43 | 42 | $0 |
| 92014 | Established patient complete exam of visual system | 43 | 43 | $0 |
| 92133 | Imaging of optic nerve | 39 | 38 | $0 |
| 92250 | Photography of the retina | 25 | 24 | $0 |
Insurance plans in this area (ZIP 63366)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO |
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