JESSICA MARIE BERRY (OD) – Optometrist, NPI 1245887181

JESSICA MARIE BERRY (OD) is a healthcare provider. based in White river junction, Vermont. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0995 (NH). The NPI Number for JESSICA MARIE BERRY (OD) is 1245887181

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA MARIE BERRY (OD)
NPI
1245887181
Phone
(802) 295-4887
Address
587 Hartford Ave
Enumeration Date
26 August 2019
Last Update Date
27 August 2019

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
8022954887
Graduation Year
2019 (7 years ago)
PAC ID
2264764323
Group Practice PAC ID
7911910096
Professional Enrollment ID
I20200929001472
Address ID
VT050018031WH587XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

114 OPTOMETRY in VT

Provider Addresses for JESSICA MARIE BERRY (OD)

  • 587 Hartford Ave

    White River Junction, VT 050018031

    Phone: (802) 295-4887

    Type: Location

  • 29 BEECH ST APT B

    NEWPORT, NH 037731414

    Phone: (978) 766-3217

    Type: Mailing

  • 45 Lyme Rd (Eastbound), Lyme Road, Hanover, Grafton County, New Hampshire, 03755, United States

    HANOVER, NH 037551260

    Phone: (603) 643-2140

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $67.

Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($27).

Total Amount

$67

General + Research + Ownership

Payments

4

Total payment records

General Amount

$67

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

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: 2020-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191023001791IOptometryNHTBD
I20200929001472IOptometryVTTBD

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 system185185$0
92133Imaging of optic nerve5041$0
92004New patient complete exam of visual system4444$0
92134Imaging of retina3028$0
99213Established patient office or other outpatient visit, 20-29 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 05001)

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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: 7911910096View full group profile
NameSpecialtyState
O P T O M E T R YVT
O P T O M E T R YVT
O P T O M E T R YVT
O P T O M E T R YVT
O P T O M E T R YVT

Reviews

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Frequently asked questions

What is JESSICA MARIE BERRY (OD)'s NPI number?
JESSICA MARIE BERRY (OD)'s NPI is 1245887181 — the number used across U.S. healthcare to identify this provider.
Is JESSICA MARIE BERRY (OD) still an active registrant?
JESSICA MARIE BERRY (OD) carries an active NPI according to the public dataset.
What clinical focus is listed for JESSICA MARIE BERRY (OD)?
At a glance, JESSICA MARIE BERRY (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JESSICA MARIE BERRY (OD)?
Travel planning: use White River Junction, Vermont as the reference point for JESSICA MARIE BERRY (OD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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