MR. JASON LEE ELLEN (O.D.) – Optometrist, NPI 1962405928
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 MR. JASON LEE ELLEN (O.D.)
South Gateway Place, Jenks, Tulsa County, Oklahoma, 74037, United States
SUITE 401
JENKS, OK 74037
Phone: (918) 747-2020
Fax: (918) 747-2056
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 89 Open Payments records for all available years, with a total value of $3,790.
Total Amount is formed as General ($3,790) + Research ($0) + Ownership ($0) = $3,790.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($1,252).
Total Amount
$3,790
General + Research + Ownership
Payments
89
Total payment records
General Amount
$3,790
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS INC. | $1,252 |
| Bausch & Lomb Americas Inc. | $352 |
| Amgen Inc. | $255 |
| Tarsus Pharmaceuticals, Inc. | $231 |
| ABBVIE INC. | $222 |
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: 2020-04-20
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 |
|---|---|---|---|---|
| I20070622000222 | I | Optometry | OK | TBD |
| I20200420000661 | 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 |
|---|---|---|---|---|
| 92136 | Measurement of corneal curvature and depth of eye | 1,022 | 523 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 365 | 203 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 314 | 314 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 228 | 214 | $0 |
| 92025 | Ct scan of cornea | 131 | 93 | $0 |
Insurance plans in this area (ZIP 74037)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | OK | |
| O P T O M E T R Y | OK | |
| O P T O M E T R Y | OK | |
| O P T O M E T R Y | OK | |
| O P T O M E T R Y | OK | |
| O P H T H A L M O L O G Y | OK | |
| O P T O M E T R Y | AR | |
| - | OK | |
| O P T O M E T R Y | AR |
Reviews
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