DR. JESSICA LIVERMONT (OD) – Optometrist, NPI 1427785054

DR. JESSICA LIVERMONT (OD) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3177 (OK). The NPI Number for DR. JESSICA LIVERMONT (OD) is 1427785054

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA LIVERMONT (OD)
NPI
1427785054
Phone
(605) 842-5132
Address
17816 E 626 RD
Enumeration Date
3 August 2022
Last Update Date
29 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9183412020
Graduation Year
2022 (4 years ago)
PAC ID
0042695306
Group Practice PAC ID
1456364348
Professional Enrollment ID
I20220922002082
Address ID
OK740177263CL221XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

684 OPTOMETRY in OK

Provider Addresses for DR. JESSICA LIVERMONT (OD)

  • 17816 E 626 RD

    TAHLEQUAH, OK 744648757

    Phone: (605) 842-5132

    Type: Mailing

  • 221 S FLORENCE AVE STE 150

    CLAREMORE, OK 740177263

    Phone: (918) 341-2020

    Type: Location

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 $252.

Total Amount is formed as General ($252) + Research ($0) + Ownership ($0) = $252.

Last reported payment date: 2024-09-28 • Largest payer in this snapshot: Optos, Inc. ($160).

Total Amount

$252

General + Research + Ownership

Payments

5

Total payment records

General Amount

$252

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-28

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: 2022-09-22

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
I20220922002082IOptometryOKTBD

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
92250Photography of the retina4342$0
99214Established patient office or other outpatient visit, 30-39 minutes2928$0
99204New patient office or other outpatient visit, 45-59 minutes2727$0
66984Removal of cataract with insertion of prosthetic lens2114$0
View full utilization report →

Insurance plans in this area (ZIP 74464)

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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: 1456364348View full group profile
NameSpecialtyState
O P T O M E T R YOK
O P T O M E T R YOK
O P T O M E T R YOK
O P T O M E T R YOK

Reviews

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Frequently asked questions

What is the standard ID for DR. JESSICA LIVERMONT (OD) in the U.S.?
In the U.S., DR. JESSICA LIVERMONT (OD) is identified by NPI 1427785054.
Should I treat DR. JESSICA LIVERMONT (OD) as an active provider?
Patients and plans typically see DR. JESSICA LIVERMONT (OD) as active in the national extract.
Which specialty label fits DR. JESSICA LIVERMONT (OD)?
NPPES ties DR. JESSICA LIVERMONT (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JESSICA LIVERMONT (OD) in Tahlequah, Oklahoma?
For routing, start with Tahlequah, Oklahoma for DR. JESSICA LIVERMONT (OD), then verify phone and hours locally.
Who maintains DR. JESSICA LIVERMONT (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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