JESSICA GREENE (O.D.) – Optometrist, NPI 1083067490
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
684 OPTOMETRY in OK
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Provider Addresses for JESSICA GREENE (O.D.)
800, North Main Street, Elk City, Beckham County, Oklahoma, 73644, United States
ELK CITY, OK 736443414
Phone: (580) 225-1980
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 6 Open Payments records for all available years, with a total value of $123.
Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Alcon Vision LLC ($79).
Total Amount
$123
General + Research + Ownership
Payments
6
Total payment records
General Amount
$123
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $79 |
| Glaukos Corporation | $44 |
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: 2025-10-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20161005000291 | I | Optometry | OK | TBD |
| I20251010000126 | I | Optometry | TX | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 56 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 56 | 41 | $0 |
| 92250 | Photography of the retina | 51 | 51 | $0 |
| 92002 | New patient problem focused exam of visual system | 29 | 29 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 23 | 19 | $0 |
Insurance plans in this area (ZIP 73644)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OK | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | OK | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology, Emergency Medicine | OK | |
| Diagnostic Radiology | OK |
Reviews
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