JEFFREY CARR JESSUP (O.D.) – Optometrist, NPI 1104982701

JEFFREY CARR JESSUP (O.D.) is a healthcare provider. based in Nashville, Tennessee. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ODT859 (TN). The NPI Number for JEFFREY CARR JESSUP (O.D.) is 1104982701

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY CARR JESSUP (O.D.)
NPI
1104982701
Phone
(615) 662-2800
Address
7091 OLD HARDING PIKE
Enumeration Date
28 December 2006
Last Update Date
21 December 2021

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
6156622800
Graduation Year
2006 (20 years ago)
PAC ID
6901861863
Group Practice PAC ID
1759646995
Professional Enrollment ID
I20190102000854
Address ID
TN372212827NA7091XPIKE401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

957 OPTOMETRY in TN

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Provider Addresses for JEFFREY CARR JESSUP (O.D.)

  • 7091, Old Harding Pike, Walnut Hills, Nashville, Davidson County, Middle Tennessee, Tennessee, 37221, United States

    SUITE 105

    NASHVILLE, TN 37221

    Phone: (615) 662-2800

    Type: Location

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $417.

Total Amount is formed as General ($417) + Research ($0) + Ownership ($0) = $417.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($160).

Total Amount

$417

General + Research + Ownership

Payments

9

Total payment records

General Amount

$417

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2019-01-02

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
I20190102000854IOptometryTNTBD

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
92014Established patient complete exam of visual system10399$0
92250Photography of the retina3732$0
92004New patient complete exam of visual system3232$0
92012Established patient problem focused exam of visual system2828$0
99212Established patient office or other outpatient visit, 10-19 minutes1815$0
View full utilization report →

Insurance plans in this area (ZIP 37221)

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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: 1759646995View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YTN
O P T O M E T R YVA
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YVA
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN

Reviews

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Frequently asked questions

How is JEFFREY CARR JESSUP (O.D.) identified in CMS data?
CMS-hosted NPPES data lists JEFFREY CARR JESSUP (O.D.) with NPI 1104982701.
Can I rely on JEFFREY CARR JESSUP (O.D.) being an active provider?
As of the registry snapshot, JEFFREY CARR JESSUP (O.D.) is marked active.
What healthcare role does JEFFREY CARR JESSUP (O.D.) hold?
Scheduling teams often label JEFFREY CARR JESSUP (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Does JEFFREY CARR JESSUP (O.D.) list a practice location?
Patients near Nashville, Tennessee may find JEFFREY CARR JESSUP (O.D.) in results; validate coverage separately.
Is the information about JEFFREY CARR JESSUP (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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