JACQUELYN D KUTA (OD) – Optometrist, NPI 1427403104
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
Provider Addresses for JACQUELYN D KUTA (OD)
8140 Norton Pkwy Ste 110
Mentor, OH 440606049
Phone: (440) 255-1115
Fax: (440) 255-1550
Type: Location
33541, Aurora Road, Solon, Cuyahoga County, Ohio, 44139, United States
SOLON, OH 441393705
Phone: (440) 248-2020
Type: Mailing
6500 ROCKSIDE RD STE 100
INDEPENDENCE, OH 441312319
Phone: (216) 674-6400
Fax: (216) 674-6410
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $979.
Total Amount is formed as General ($979) + Research ($0) + Ownership ($0) = $979.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: CooperVision Inc. ($961).
Total Amount
$979
General + Research + Ownership
Payments
9
Total payment records
General Amount
$979
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $961 |
| Johnson & Johnson Vision Care, Inc. | $18 |
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: 2018-03-02
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 |
|---|---|---|---|---|
| I20180302002412 | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 89 | 45 | $0 |
| 92083 | Exam of visual field with extended testing | 25 | 15 | $0 |
| 92134 | Imaging of retina | 19 | 14 | $0 |
| 92014 | Established patient complete exam of visual system | 12 | 12 | $0 |
| 92133 | Imaging of optic nerve | 12 | 12 | $0 |
Insurance plans in this area (ZIP 44060)
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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 | NM | |
| - | OH | |
| 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 | |
| - | OH |
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