DR. JONATHAN TYLER THAYER (OD) – Optometrist, NPI 1124718689
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
Provider Addresses for DR. JONATHAN TYLER THAYER (OD)
6313 Ronald Reagan Dr
Lake St Louis, MO 633672681
Phone: (636) 561-2342
Fax: (636) 561-2362
Type: Location
390 Mid Rivers Mall Dr
Saint Peters, MO 633761565
Phone: (636) 279-2020
Fax: (636) 279-1055
Type: Location
15933 CLAYTON RD
BALLWIN, MO 630112172
Phone: (636) 200-4393
Type: Mailing
1894 WENTZVILLE PKWY
WENTZVILLE, MO 633853820
Phone: (636) 887-4000
Fax: (636) 887-4095
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,442.
Total Amount is formed as General ($1,442) + Research ($0) + Ownership ($0) = $1,442.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: CooperVision Inc. ($1,263).
Total Amount
$1,442
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,442
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $1,263 |
| Bausch & Lomb Americas Inc. | $159 |
| Tarsus Pharmaceuticals, Inc. | $20 |
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: 2024-08-13
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 |
|---|---|---|---|---|
| I20240813002126 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63367)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| 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 | |
| O P T O M E T R Y | MO | |
| - | MO | |
| O P T O M E T R Y | MO | |
| - | MO | |
| - | CA | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO |
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