DR. JASON TRAVERS STREET (OD) – Optometrist, NPI 1467511105

DR. JASON TRAVERS STREET (OD) is a healthcare provider. based in Farmington, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2000160791 (MO). The NPI Number for DR. JASON TRAVERS STREET (OD) is 1467511105

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON TRAVERS STREET (OD)
NPI
1467511105
Phone
(573) 756-3170
Address
102 WESTMOUNT DRIVE
Enumeration Date
8 December 2006
Last Update Date
15 January 2013

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
5737563170
Graduation Year
2000 (26 years ago)
PAC ID
3173629367
Group Practice PAC ID
5698872000
Professional Enrollment ID
I20070504000152
Address ID
MO636402970FA102XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for DR. JASON TRAVERS STREET (OD)

  • 102, Westmount Drive, Farmington, Saint Francois County, Missouri, 63640, United States

    FARMINGTON, MO 636400829

    Phone: (573) 756-3170

    Fax: (573) 756-0173

    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 14 Open Payments records for all available years, with a total value of $364.

Total Amount is formed as General ($364) + Research ($0) + Ownership ($0) = $364.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($192).

Total Amount

$364

General + Research + Ownership

Payments

14

Total payment records

General Amount

$364

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2007-05-04

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
I20070504000152IOptometryMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes200178$0
99214Established patient office or other outpatient visit, 30-39 minutes8570$0
99203New patient office or other outpatient visit, 30-44 minutes4141$0
92134Imaging of retina2723$0
66984Removal of cataract with insertion of prosthetic lens2012$0
View full utilization report →

Insurance plans in this area (ZIP 63640)

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Provider's Procedures

DR. JASON TRAVERS STREET (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMO92012Eye and medical examination for diagnosis and treatment, established patient9351

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: 5698872000View full group profile
NameSpecialtyState
-MO
O P T O M E T R YIL

Reviews

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Frequently asked questions

Is there an official ID for DR. JASON TRAVERS STREET (OD) in U.S. healthcare records?
The official identifier for DR. JASON TRAVERS STREET (OD) is NPI 1467511105.
Would DR. JASON TRAVERS STREET (OD) appear as active to a payer?
You can treat DR. JASON TRAVERS STREET (OD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. JASON TRAVERS STREET (OD)?
DR. JASON TRAVERS STREET (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. JASON TRAVERS STREET (OD) associated with Farmington?
Public fields place DR. JASON TRAVERS STREET (OD) around Farmington, Missouri. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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