DR. JASON T RILEY (O.D.) – Optometrist, NPI 1477752053

DR. JASON T RILEY (O.D.) is a healthcare provider. based in Sullivan, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2007018451 (MO). The NPI Number for DR. JASON T RILEY (O.D.) is 1477752053

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON T RILEY (O.D.)
NPI
1477752053
Phone
(573) 468-4032
Address
280 E SPRINGFIELD RD
Enumeration Date
13 July 2007
Last Update Date
27 August 2010

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
5734684032
Graduation Year
2007 (19 years ago)
PAC ID
6800982141
Group Practice PAC ID
2264413814
Professional Enrollment ID
I20071017000574
Address ID
MO630801364SU280XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for DR. JASON T RILEY (O.D.)

  • 280, Springfield Road, Charlestown, Sullivan County, New Hampshire, 03603, United States

    P.O. BOX 457

    SULLIVAN, MO 630801364

    Phone: (573) 468-4032

    Fax: (573) 468-2935

    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 31 Open Payments records for all available years, with a total value of $1,143.

Total Amount is formed as General ($1,143) + Research ($0) + Ownership ($0) = $1,143.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($381).

Total Amount

$1,143

General + Research + Ownership

Payments

31

Total payment records

General Amount

$1,143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2007-10-17

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
I20071017000574IOptometryMOTBD

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
92250Photography of the retina8582$0
92014Established patient complete exam of visual system8280$0
99213Established patient office or other outpatient visit, 20-29 minutes3221$0
View full utilization report →

Insurance plans in this area (ZIP 63080)

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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: 2264413814View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO
-MO

Reviews

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Frequently asked questions

Does DR. JASON T RILEY (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JASON T RILEY (O.D.) uses 1477752053.
Does CMS list DR. JASON T RILEY (O.D.) as active?
Yes — DR. JASON T RILEY (O.D.) is active in the NPI listing used on this page.
What is DR. JASON T RILEY (O.D.) best known for clinically?
Directory data describes DR. JASON T RILEY (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JASON T RILEY (O.D.)?
DR. JASON T RILEY (O.D.)'s geographic hint is Sullivan, Missouri in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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