JESSICA KRISTINE PUTNAM (O.D.) – Optometrist, NPI 1184971087
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 OPTOMETRY in KS
Provider Addresses for JESSICA KRISTINE PUTNAM (O.D.)
PO BOX 207293
DALLAS, TX 753207293
Phone: (636) 200-4393
Fax: (636) 527-0766
Type: Mailing
2800 SW WANAMAKER RD
SUITE 192
TOPEKA, KS 666144293
Phone: (785) 272-0707
Fax: (785) 438-6777
Type: Mailing
705 BAPTISTE DR
STE 200
PAOLA, KS 660711336
Phone: (913) 294-4342
Fax: (913) 294-3309
Type: Location
2600 Iowa St
Lawrence, KS 660464152
Phone: (785) 842-6999
Fax: (785) 842-1291
Type: Location
751 N Mur Len Rd Ste A
Olathe, KS 660625555
Phone: (913) 764-2020
Fax: (913) 768-4422
Type: Location
512 Commercial St
Emporia, KS 668014006
Phone: (620) 343-7120
Fax: (620) 343-2038
Type: Location
313 W Main St
Council Grove, KS 668461706
Phone: (620) 412-4150
Fax: (620) 412-4151
Type: Location
15311 W 119th St
Olathe, KS 660621074
Phone: (913) 780-3200
Fax: (913) 780-6770
Type: Location
316 S Main St
Ottawa, KS 660672332
Phone: (785) 242-2020
Fax: (785) 242-2335
Type: Location
2525 Market Pl Ste C
Salina, KS 674017690
Phone: (785) 825-0271
Fax: (785) 825-0273
Type: Location
800 N 4th St Ste 102
Burlington, KS 668392618
Phone: (620) 364-2134
Fax: (620) 364-5477
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $285.
Total Amount is formed as General ($285) + Research ($0) + Ownership ($0) = $285.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: CooperVision Inc. ($168).
Total Amount
$285
General + Research + Ownership
Payments
5
Total payment records
General Amount
$285
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $168 |
| Glaukos Corporation | $95 |
| Bausch & Lomb Americas Inc. | $21 |
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: 2012-09-19
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 |
|---|---|---|---|---|
| I20120919000793 | I | Optometry | KS | 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 | 122 | 122 | $0 |
| 92250 | Photography of the retina | 54 | 53 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 33 | $0 |
| 92083 | Exam of visual field with extended testing | 26 | 20 | $0 |
| 92133 | Imaging of optic nerve | 21 | 20 | $0 |
Insurance plans in this area (ZIP 75320)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | KS | |
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| O P T O M E T R Y | KS | |
| O P T O M E T R Y | KS | |
| O P T O M E T R Y | MO | |
| - | KS | |
| O P T O M E T R Y | KS | |
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | KS |
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