DR. JEFFREY HAIDON POWELL (OD) – Optometrist, NPI 1679543995

DR. JEFFREY HAIDON POWELL (OD) is a healthcare provider. based in Maryville, Missouri. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. T02187 (MO). The NPI Number for DR. JEFFREY HAIDON POWELL (OD) is 1679543995

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY HAIDON POWELL (OD)
NPI
1679543995
Phone
(660) 582-4022
Address
2320 SOUTH MAIN ST.
Enumeration Date
26 January 2006
Last Update Date
11 October 2007

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
6605824022
Graduation Year
1972 (54 years ago)
PAC ID
0941237341
Group Practice PAC ID
1153371646
Professional Enrollment ID
I20050719000422
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

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Provider Addresses for DR. JEFFREY HAIDON POWELL (OD)

  • 2320, South Main Street, Maryville, Polk Township, Nodaway County, Missouri, 64468, United States

    MARYVILLE, MO 64468

    Phone: (660) 582-4022

    Fax: (660) 582-4038

    Type: Mailing

  • 2320, South Main Street, Maryville, Nodaway County, Missouri, 64468, United States

    MARYVILLE, MO 644683622

    Phone: (660) 582-4022

    Fax: (660) 582-4038

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Sight Sciences, Inc. ($43).

Total Amount

$66

General + Research + Ownership

Payments

2

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2005-07-19

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
I20050719000422IOptometryMOTBD

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 64468)

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Provider's Procedures

DR. JEFFREY HAIDON POWELL (OD) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMO92134Diagnostic imaging of retina2018

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: 1153371646View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMN
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YKS

Reviews

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Frequently asked questions

Does DR. JEFFREY HAIDON POWELL (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JEFFREY HAIDON POWELL (OD) uses 1679543995.
Is DR. JEFFREY HAIDON POWELL (OD) listed as active for patients and plans?
The listing shows DR. JEFFREY HAIDON POWELL (OD) as active in the NPI system.
What is DR. JEFFREY HAIDON POWELL (OD)'s specialty?
The listing groups DR. JEFFREY HAIDON POWELL (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. JEFFREY HAIDON POWELL (OD) based?
DR. JEFFREY HAIDON POWELL (OD) is tied to Maryville, Missouri in the data we show; additional addresses may exist on the full record.
Why does DR. JEFFREY HAIDON POWELL (OD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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