DR. JASON KENNAN WINTERBOTTOM (OD) – Optometrist, NPI 1114901568
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
Provider Addresses for DR. JASON KENNAN WINTERBOTTOM (OD)
5283 Cornerstone North Blvd
Centerville, OH 454402270
Phone: (937) 848-6601
Type: Location
7849, Tylersville Road, West Chester Township, Butler County, Ohio, 45069, United States
WEST CHESTER, OH 450692510
Phone: (513) 298-5170
Fax: (513) 755-0658
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $1,641.
Total Amount is formed as General ($1,641) + Research ($0) + Ownership ($0) = $1,641.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: CooperVision Inc. ($512).
Total Amount
$1,641
General + Research + Ownership
Payments
40
Total payment records
General Amount
$1,641
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $512 |
| Bausch & Lomb Americas Inc. | $455 |
| ABBVIE INC. | $158 |
| Alcon Vision LLC | $158 |
| Tarsus Pharmaceuticals, Inc. | $135 |
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: 2005-06-07
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 |
|---|---|---|---|---|
| I20050607001328 | I | Optometry | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 92 | 87 | $0 |
| 92250 | Photography of the retina | 72 | 69 | $0 |
| 92134 | Imaging of retina | 48 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 28 | $0 |
| 92133 | Imaging of optic nerve | 32 | 22 | $0 |
Insurance plans in this area (ZIP 45440)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| - | OH | |
| O P T O M E T R Y | OK | |
| O P T O M E T R Y | OH | |
| - | OH | |
| - | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| - | TX |
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