JACOB FONDRIEST (MD) – Ophthalmology Physician, NPI 1093334021
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
840 OPHTHALMOLOGY in OH
Provider Addresses for JACOB FONDRIEST (MD)
525 E MARKET ST
AKRON, OH 443041619
Phone: (330) 375-4831
Type: Location
262 NEIL AVE STE 420
COLUMBUS, OH 432157312
Phone: (614) 224-4297
Fax: (614) 224-5668
Type: Mailing
600 S PAULINA ST STE 403
CHICAGO, IL 606123806
Phone: (330) 375-4831
Type: Location
7101 Fairway Dr
Palm Beach Gardens, FL 334183701
Phone: (305) 243-2020
Fax: (561) 355-8600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $984.
Total Amount is formed as General ($984) + Research ($0) + Ownership ($0) = $984.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Alcon Vision LLC ($644).
Total Amount
$984
General + Research + Ownership
Payments
15
Total payment records
General Amount
$984
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $644 |
| Glaukos Corporation | $104 |
| Apellis Pharmaceuticals, Inc. | $100 |
| Regeneron Healthcare Solutions, Inc. | $96 |
| NEW WORLD MEDICAL,INC. | $26 |
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: 2025-03-04
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 |
|---|---|---|---|---|
| I20240715000691 | I | Ophthalmology | FL | TBD |
| I20250304000352 | I | Ophthalmology | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | KY | |
| O P T O M E T R Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| Ophthalmology, Plastic And Reconstructive Surgery | OH |
Reviews
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