JACOB SHUMWAY BAILEY (OD) – Optometrist, NPI 1497095244
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
226 OPTOMETRY in NM
Provider Addresses for JACOB SHUMWAY BAILEY (OD)
1124 10TH ST
ALAMOGORDO, NM 883106414
Phone: (575) 434-1200
Type: Location
697 Louisiana Rd
Dyess AFB, TX 796071141
Phone: (503) 858-0991
Type: Location
2043 COLLEGE WAY
FOREST GROVE, OR 971161756
Phone: (503) 858-0991
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $110.
Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Genentech USA, Inc. ($56).
Total Amount
$110
General + Research + Ownership
Payments
4
Total payment records
General Amount
$110
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $56 |
| Harrow Eye, LLC | $23 |
| Bausch & Lomb Americas Inc. | $16 |
| Sight Sciences, Inc. | $15 |
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: 2018-01-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180116002188 | I | Optometry | NM | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 1,096 | 1,041 | $0 |
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 905 | 886 | $0 |
| 92012 | Established patient problem focused exam of visual system | 646 | 463 | $0 |
| 83861 | Microfluid analysis of tears | 536 | 229 | $0 |
| 92250 | Photography of the retina | 217 | 188 | $0 |
Insurance plans in this area (ZIP 88310)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| - | AZ | |
| O P H T H A L M O L O G Y | NM | |
| - | NM | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | NM | |
| O P T O M E T R Y | NM | |
| O P T O M E T R Y | NM | |
| O P H T H A L M O L O G Y | NM | |
| O P T O M E T R Y | NM |
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