DR. JACQUELINE MARIE ERDAHL (DO) – Ophthalmology Physician, NPI 1073074266
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
840 OPHTHALMOLOGY in OH
Provider Addresses for DR. JACQUELINE MARIE ERDAHL (DO)
1020 WOODMAN DR STE 105
DAYTON, OH 454321410
Phone: (937) 723-7772
Fax: (937) 226-9605
Type: Location
2115, Leiter Road, Miamisburg, Montgomery County, Ohio, 45342, United States
MIAMISBURG, OH 453423600
Phone: (937) 384-6800
Fax: (937) 384-6938
Type: Mailing
8216 N Main St
Dayton, OH 454151641
Phone: (937) 898-2300
Fax: (937) 898-2348
Type: Location
2025 Van Hill Dr
Zeeland, MI 494646904
Phone: (616) 772-2020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $663.
Total Amount is formed as General ($663) + Research ($0) + Ownership ($0) = $663.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Alcon Vision LLC ($317).
Total Amount
$663
General + Research + Ownership
Payments
20
Total payment records
General Amount
$663
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $317 |
| Sight Sciences, Inc. | $230 |
| Amgen Inc. | $44 |
| Tarsus Pharmaceuticals, Inc. | $39 |
| BIOTISSUE HOLDINGS INC. | $32 |
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: 2025-11-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20231101000634 | I | Ophthalmology | OH | TBD |
| I20251119003016 | I | Ophthalmology | MI | 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 | 20 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 19 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 15 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 13 | $0 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 14 | 11 | $0 |
Insurance plans in this area (ZIP 45432)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MI |
Reviews
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