JOHNATHAN LOWELL BEAUCHAMP (O.D.) – Optometrist, NPI 1346654498

JOHNATHAN LOWELL BEAUCHAMP (O.D.) is a healthcare provider. based in Mansfield, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1952DT (KY). The NPI Number for JOHNATHAN LOWELL BEAUCHAMP (O.D.) is 1346654498

Main info

Male
12 Years Of Experience
Name
JOHNATHAN LOWELL BEAUCHAMP (O.D.)
NPI
1346654498
Phone
(419) 525-3737
Address
240 W COOK RD
Enumeration Date
17 June 2014
Last Update Date
26 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403892306
Graduation Year
2014 (12 years ago)
PAC ID
8820217524
Group Practice PAC ID
2466706239
Professional Enrollment ID
I20151008000460
Address ID
OH433026426MA228XXEXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for JOHNATHAN LOWELL BEAUCHAMP (O.D.)

  • 240 W COOK RD

    MANSFIELD, OH 449072451

    Phone: (419) 525-3737

    Fax: (419) 525-3740

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($39).

Total Amount

$117

General + Research + Ownership

Payments

5

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-10-08

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
I20151008000460IOptometryOHTBD

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
92014Established patient complete exam of visual system1313$0
View full utilization report →

Insurance plans in this area (ZIP 44907)

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Provider's Procedures

JOHNATHAN LOWELL BEAUCHAMP (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOH92012Eye and medical examination for diagnosis and treatment, established patient362200
OPTOMETRYOH92083Measurement of field of vision during daylight conditions3936
OPTOMETRYOH92134Diagnostic imaging of retina9891

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: 2466706239View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YWV
O P T O M E T R YOH

Reviews

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Frequently asked questions

What is the standard ID for JOHNATHAN LOWELL BEAUCHAMP (O.D.) in the U.S.?
In the U.S., JOHNATHAN LOWELL BEAUCHAMP (O.D.) is identified by NPI 1346654498.
Is JOHNATHAN LOWELL BEAUCHAMP (O.D.)'s NPI status active today?
Active status means JOHNATHAN LOWELL BEAUCHAMP (O.D.)'s NPI record is not deactivated in the public file.
How should patients interpret JOHNATHAN LOWELL BEAUCHAMP (O.D.)'s specialty?
The extract shows Optometrist for JOHNATHAN LOWELL BEAUCHAMP (O.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOHNATHAN LOWELL BEAUCHAMP (O.D.)?
JOHNATHAN LOWELL BEAUCHAMP (O.D.) is associated with Mansfield, Ohio in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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