DR. JESSICA A SIMON (O.D.) – Optometrist, NPI 1790785285
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
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Provider Addresses for DR. JESSICA A SIMON (O.D.)
518, West Avenue, Tallmadge Town Square Historic District, Tallmadge, Summit County, Ohio, 44278, United States
TALLMADGE, OH 442782117
Phone: (330) 630-9699
Type: Mailing
3330, Kent Road, Stow, Summit County, Ohio, 44224, United States
STOW, OH 442244537
Phone: (330) 688-8811
Fax: (330) 296-3231
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $1,853.
Total Amount is formed as General ($1,853) + Research ($0) + Ownership ($0) = $1,853.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($781).
Total Amount
$1,853
General + Research + Ownership
Payments
49
Total payment records
General Amount
$1,853
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $781 |
| Oyster Point Pharma, Inc. | $333 |
| CooperVision Inc. | $234 |
| Alcon Vision LLC | $72 |
| Johnson & Johnson Vision Care, Inc. | $69 |
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: 2004-08-20
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 |
|---|---|---|---|---|
| I20040820000877 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 56 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 36 | $0 |
| 92133 | Imaging of optic nerve | 21 | 13 | $0 |
| 92083 | Exam of visual field with extended testing | 19 | 15 | $0 |
| 92134 | Imaging of retina | 14 | 13 | $0 |
Insurance plans in this area (ZIP 44278)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OH |
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