DR. JIMMIE BURCHFIELD (O.D.) – Optometrist, NPI 1518940717

DR. JIMMIE BURCHFIELD (O.D.) is a healthcare provider. based in Ballwin, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. S771TA142 (AL). The NPI Number for DR. JIMMIE BURCHFIELD (O.D.) is 1518940717

Main info

Female
Accepts Medicare Assignment
Name
DR. JIMMIE BURCHFIELD (O.D.)
NPI
1518940717
Phone
(636) 200-4393
Address
15933 CLAYTON RD
Enumeration Date
22 November 2005
Last Update Date
4 November 2025

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
3342890466
Graduation Year
null (2026 years ago)
PAC ID
2961682158
Group Practice PAC ID
4981627502
Professional Enrollment ID
I20110204000463
Address ID
AL367324116DE1043XWXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

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Provider Addresses for DR. JIMMIE BURCHFIELD (O.D.)

  • Clayton Road, Ballwin, Saint Louis County, Missouri, 63011, United States

    SUITE 201

    BALLWIN, MO 630112172

    Phone: (636) 200-4393

    Fax: (636) 527-0766

    Type: Mailing

  • 911, Hargrove Road East, Fairway Drive, Sycamore, Tuscaloosa, Tuscaloosa County, Alabama, 35401, United States

    TUSCALOOSA, AL 354051602

    Phone: (205) 507-7810

    Fax: (205) 554-7399

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Dompe US, Inc. ($87).

Total Amount

$87

General + Research + Ownership

Payments

1

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dompe US, Inc.$87
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: 2011-02-04

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
I20110204000463IOptometryALTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63011)

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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: 4981627502View full group profile
NameSpecialtyState
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YIL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JIMMIE BURCHFIELD (O.D.)'s NPI?
Yes. DR. JIMMIE BURCHFIELD (O.D.) is listed with NPI 1518940717 in the public NPI dataset.
Is DR. JIMMIE BURCHFIELD (O.D.) listed as active for patients and plans?
The listing shows DR. JIMMIE BURCHFIELD (O.D.) as active in the NPI system.
What is DR. JIMMIE BURCHFIELD (O.D.)'s specialty?
The listing groups DR. JIMMIE BURCHFIELD (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JIMMIE BURCHFIELD (O.D.) on a map?
Expect Ballwin, Missouri as a primary anchor for DR. JIMMIE BURCHFIELD (O.D.) unless the record lists multiple sites.
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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