DR. JESSICA SUMRALL (O.D.) – Optometrist, NPI 1568869881

DR. JESSICA SUMRALL (O.D.) is a healthcare provider. based in Goodfellow afb, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 9523T (TX). The NPI Number for DR. JESSICA SUMRALL (O.D.) is 1568869881

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA SUMRALL (O.D.)
NPI
1568869881
Phone
Not provided
Address
271 FORT RICHARDSON AVE
Enumeration Date
2 December 2014
Last Update Date
27 June 2019

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
3256952020
Graduation Year
2014 (12 years ago)
PAC ID
7911211511
Group Practice PAC ID
7012990112
Professional Enrollment ID
I20251014004137
Address ID
TX796065211AB2120XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,129 OPTOMETRY in TX

Provider Addresses for DR. JESSICA SUMRALL (O.D.)

  • 271 FORT RICHARDSON AVE

    GOODFELLOW AFB, TX 769084901

    Phone:

    Type: Mailing

  • 4450 SUNSET DR

    SAN ANGELO, TX 769015611

    Phone: (325) 481-2286

    Fax: (325) 481-2028

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2023-12-13 • Largest payer in this snapshot: ABBVIE INC. ($66).

Total Amount

$91

General + Research + Ownership

Payments

3

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$66
Alcon Vision LLC$25
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: 2025-10-14

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
I20251014004137IOptometryTXTBD

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 system456447$0
92012Established patient problem focused exam of visual system117108$0
92004New patient complete exam of visual system112112$0
92133Imaging of optic nerve110108$0
92083Exam of visual field with extended testing5757$0
View full utilization report →

Insurance plans in this area (ZIP 76908)

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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: 7012990112View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YFL
O P T O M E T R YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

What NPI should I save for DR. JESSICA SUMRALL (O.D.)?
Save NPI 1568869881 if you need a stable reference for DR. JESSICA SUMRALL (O.D.).
Is DR. JESSICA SUMRALL (O.D.) active in the national directory?
DR. JESSICA SUMRALL (O.D.)'s public NPI profile is in an active state.
What does DR. JESSICA SUMRALL (O.D.) treat or focus on?
Patients typically see DR. JESSICA SUMRALL (O.D.) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. JESSICA SUMRALL (O.D.) practice in Texas?
You will see Goodfellow Afb, Texas on file for DR. JESSICA SUMRALL (O.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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