DR. AMANDA JESSIE BISSELL (O.D.) – Optometrist, NPI 1336145481

DR. AMANDA JESSIE BISSELL (O.D.) is a healthcare provider. based in Eureka, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2004025214 (MO). The NPI Number for DR. AMANDA JESSIE BISSELL (O.D.) is 1336145481

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA JESSIE BISSELL (O.D.)
NPI
1336145481
Phone
(636) 200-4393
Address
40 E NORTH ST
Enumeration Date
23 June 2005
Last Update Date
18 November 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3144507313
Graduation Year
2004 (22 years ago)
PAC ID
0648221655
Group Practice PAC ID
0840411799
Professional Enrollment ID
I20050208000262
Address ID
MO631181012ST3122XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for DR. AMANDA JESSIE BISSELL (O.D.)

  • 40, East North Street, Eureka, Saint Louis County, Missouri, 63025, United States

    EUREKA, MO 630251205

    Phone: (636) 200-4393

    Fax: (636) 938-2650

    Type: Mailing

  • Clarkson Eyecare, 3071, Phoenix Center Drive, Phoenix Center II, Washington, Franklin County, Missouri, 63090, United States

    WASHINGTON, MO 630905690

    Phone: (636) 777-2345

    Fax: (636) 777-2115

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $3,162.

Total Amount is formed as General ($3,162) + Research ($0) + Ownership ($0) = $3,162.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: CooperVision Inc. ($2,604).

Total Amount

$3,162

General + Research + Ownership

Payments

28

Total payment records

General Amount

$3,162

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-02-08

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
I20050208000262IOptometryMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7165$0
99213Established patient office or other outpatient visit, 20-29 minutes5549$0
92250Photography of the retina4242$0
92083Exam of visual field with extended testing1818$0
92134Imaging of retina1817$0
View full utilization report →

Insurance plans in this area (ZIP 63025)

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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: 0840411799View full group profile

Reviews

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Frequently asked questions

Is DR. AMANDA JESSIE BISSELL (O.D.) listed with a National Provider Identifier?
Yes — DR. AMANDA JESSIE BISSELL (O.D.) has NPI 1336145481 on file in the registry.
Is DR. AMANDA JESSIE BISSELL (O.D.) shown as active in public data?
Registry records indicate DR. AMANDA JESSIE BISSELL (O.D.) maintains an active NPI.
What area of care is associated with DR. AMANDA JESSIE BISSELL (O.D.)?
DR. AMANDA JESSIE BISSELL (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. AMANDA JESSIE BISSELL (O.D.)?
Travel planning: use Eureka, Missouri as the reference point for DR. AMANDA JESSIE BISSELL (O.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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