DR. MICHELLE JERWERS BUCKLAND (O.D.) – Optometrist, NPI 1215958913

DR. MICHELLE JERWERS BUCKLAND (O.D.) is a healthcare provider. based in Columbus, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5614 (OH). The NPI Number for DR. MICHELLE JERWERS BUCKLAND (O.D.) is 1215958913

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE JERWERS BUCKLAND (O.D.)
NPI
1215958913
Phone
(614) 292-2020
Address
1664 NEIL AVE
Enumeration Date
21 July 2006
Last Update Date
7 March 2022

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
6142922020
Graduation Year
2006 (20 years ago)
PAC ID
2163426818
Group Practice PAC ID
6103866207
Professional Enrollment ID
I20060911000687
Address ID
OH432012333CO1664XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for DR. MICHELLE JERWERS BUCKLAND (O.D.)

  • 1664 NEIL AVE

    COLUMBUS, OH 432012333

    Phone: (614) 292-2020

    Type: Mailing

  • 6014, Landings Pond Place, Grove City, Jackson Township, Franklin County, Ohio, 43123, United States

    GROVE CITY, OH 431239444

    Phone: (614) 871-9183

    Fax: (614) 871-9183

    Type: Mailing

  • College of Optometry Services, 338, West Tenth Avenue, University District District 4, Columbus, Franklin, Ohio, 43210, United States

    COLUMBUS, OH 432101280

    Phone: (614) 247-6188

    Fax: (614) 292-2781

    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 $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: CooperVision Inc. ($25).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$25
ABBVIE INC.$22
View all Open Payments →|Open Payments Risk Radar →

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: 2006-09-11

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
I20060911000687IOptometryOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3225$0
99214Established patient office or other outpatient visit, 30-39 minutes1212$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 43201)

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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: 6103866207View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH
-OH
-OH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

How is DR. MICHELLE JERWERS BUCKLAND (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MICHELLE JERWERS BUCKLAND (O.D.) with NPI 1215958913.
Does the file indicate DR. MICHELLE JERWERS BUCKLAND (O.D.) is practicing under active NPI?
Directory data currently reports DR. MICHELLE JERWERS BUCKLAND (O.D.) as active.
What is DR. MICHELLE JERWERS BUCKLAND (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. MICHELLE JERWERS BUCKLAND (O.D.) here. Clinical services aligned with this taxonomy classification.
Does DR. MICHELLE JERWERS BUCKLAND (O.D.) list a practice location?
Patients near Columbus, Ohio may find DR. MICHELLE JERWERS BUCKLAND (O.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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