DR. JESSICA ELLIS DURHAM (O.D.) – Optometrist, NPI 1942512140

DR. JESSICA ELLIS DURHAM (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. 2926 (TN). The NPI Number for DR. JESSICA ELLIS DURHAM (O.D.) is 1942512140

Main info

Female
16 Years Of Experience
Name
DR. JESSICA ELLIS DURHAM (O.D.)
NPI
1942512140
Phone
(615) 297-7547
Address
4301 HILLSBORO PIKE
Enumeration Date
6 July 2010
Last Update Date
13 January 2017

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
6152977547
Graduation Year
2010 (16 years ago)
PAC ID
2163689621
Group Practice PAC ID
0648548644
Professional Enrollment ID
I20120210000541
Address ID
TN372153314NA4301XPIKE303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

Provider Addresses for DR. JESSICA ELLIS DURHAM (O.D.)

  • 4301 HILLSBORO PIKE

    SUITE 330

    NASHVILLE, TN 372153345

    Phone: (615) 297-7547

    Fax: (615) 297-7576

    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 58 Open Payments records for all available years, with a total value of $2,140.

Total Amount is formed as General ($2,140) + Research ($0) + Ownership ($0) = $2,140.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Alcon Vision LLC ($627).

Total Amount

$2,140

General + Research + Ownership

Payments

58

Total payment records

General Amount

$2,140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2012-02-10

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
I20120210000541IOptometryTNTBD

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 system146141$0
92012Established patient problem focused exam of visual system6545$0
92250Photography of the retina4539$0
92083Exam of visual field with extended testing3827$0
92004New patient complete exam of visual system3737$0
View full utilization report →

Insurance plans in this area (ZIP 37215)

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Provider's Procedures

DR. JESSICA ELLIS DURHAM (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTN92012Eye and medical examination for diagnosis and treatment, established patient3829
OPTOMETRYTN92134Diagnostic imaging of retina2322

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: 0648548644View full group profile
NameSpecialtyState
O P T O M E T R YTN

Reviews

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Frequently asked questions

What number should I use to identify DR. JESSICA ELLIS DURHAM (O.D.) for billing?
Administrative and clinical systems typically use NPI 1942512140 for DR. JESSICA ELLIS DURHAM (O.D.).
Is DR. JESSICA ELLIS DURHAM (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. JESSICA ELLIS DURHAM (O.D.) as active.
What does the directory say DR. JESSICA ELLIS DURHAM (O.D.) does?
Insurance directories may phrase it differently, but here DR. JESSICA ELLIS DURHAM (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JESSICA ELLIS DURHAM (O.D.)?
DR. JESSICA ELLIS DURHAM (O.D.) shows a connection to Nashville, Tennessee in registry-derived data.
Can I export DR. JESSICA ELLIS DURHAM (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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