JACOB THOMAS JANECEK (O.D) – Optometrist, NPI 1992741441
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
672 OPTOMETRY in OR
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Provider Addresses for JACOB THOMAS JANECEK (O.D)
17430, Northwest Solano Lane, Somerset West, Bethany, Portland, Washington County, Oregon, 97229, United States
PORTLAND, OR 972292239
Phone: (503) 533-8441
Fax: (503) 533-8403
Type: Mailing
1865, Northwest 169th Place, Twin Oaks Business Park, Five Oaks/Triple Creek, Beaverton, Washington County, Oregon, 97006, United States
BEAVERTON, OR 970067310
Phone: (503) 533-8441
Fax: (503) 533-8403
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($25).
Total Amount
$39
General + Research + Ownership
Payments
2
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mallinckrodt Hospital Products Inc. | $25 |
| Bausch & Lomb Americas Inc. | $14 |
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: 2005-10-11
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 |
|---|---|---|---|---|
| I20051011000928 | I | Optometry | OR | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 67 | 67 | $0 |
| 92250 | Photography of the retina | 57 | 54 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 35 | $0 |
| 92134 | Imaging of retina | 18 | 14 | $0 |
| 92133 | Imaging of optic nerve | 14 | 13 | $0 |
Insurance plans in this area (ZIP 97229)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OR | |
| O P T O M E T R Y | OR | |
| O P T O M E T R Y | OR | |
| O P T O M E T R Y | OR | |
| O P T O M E T R Y | OR |
Reviews
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