JAKE T WYSIADLOWSKI – Optometrist, NPI 1255008462
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
957 OPTOMETRY in TN
Provider Addresses for JAKE T WYSIADLOWSKI
1801 W END AVE STE 1150
NASHVILLE, TN 372032528
Phone: (615) 321-8881
Fax: (615) 321-8881
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 46 Open Payments records for all available years, with a total value of $1,074.
Total Amount is formed as General ($1,074) + Research ($0) + Ownership ($0) = $1,074.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($165).
Total Amount
$1,074
General + Research + Ownership
Payments
46
Total payment records
General Amount
$1,074
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-09-26
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 |
|---|---|---|---|---|
| I20220926000486 | I | Optometry | TN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 120 | 100 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 54 | 54 | $0 |
| 92134 | Imaging of retina | 45 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 40 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 37 | 37 | $0 |
Insurance plans in this area (ZIP 37203)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | TN | |
| - | IN | |
| O P T O M E T R Y | TN | |
| O P H T H A L M O L O G Y | AL | |
| O P H T H A L M O L O G Y | NC |
Reviews
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