DR. JESSICA ANN HAYNES (O.D.) – Optometrist, NPI 1114301645
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
957 OPTOMETRY in TN
Provider Addresses for DR. JESSICA ANN HAYNES (O.D.)
1432 KIMBROUGH RD
GERMANTOWN, TN 381382405
Phone: (901) 767-4499
Fax: (901) 761-0727
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 41 Open Payments records for all available years, with a total value of $4,917.
Total Amount is formed as General ($4,917) + Research ($0) + Ownership ($0) = $4,917.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Apellis Pharmaceuticals, Inc. ($1,588).
Total Amount
$4,917
General + Research + Ownership
Payments
41
Total payment records
General Amount
$4,917
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Apellis Pharmaceuticals, Inc. | $1,588 |
| Regeneron Pharmaceuticals, Inc. | $1,472 |
| Carl Zeiss Meditec, Inc. | $690 |
| Mallinckrodt Hospital Products Inc. | $265 |
| Carl Zeiss Meditec USA, Inc. | $196 |
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: 2019-05-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20161230000918 | I | Optometry | TN | TBD |
| I20170316000890 | I | Optometry | MS | TBD |
| I20190507002570 | I | Optometry | AR | 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 |
|---|---|---|---|---|
| 92134 | Imaging of retina | 1,660 | 614 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 962 | 500 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 171 | 92 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 145 | 145 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 77 | 77 | $0 |
Insurance plans in this area (ZIP 38138)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | MS | |
| O P H T H A L M O L O G Y | TN | |
| O P T O M E T R Y | TN | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN |
Reviews
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