GORDON W JENNINGS (OD PC) – Optometrist, NPI 1669435533

GORDON W JENNINGS (OD PC) is a healthcare provider. based in Wytheville, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD PC. They hold a License No. 0618000067 (VA). The NPI Number for GORDON W JENNINGS (OD PC) is 1669435533

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
GORDON W JENNINGS (OD PC)
NPI
1669435533
Phone
(276) 228-2771
Address
310 E MAIN ST
Enumeration Date
10 April 2006
Last Update Date
30 November 2009

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
2762282771
Graduation Year
1981 (45 years ago)
PAC ID
9638219496
Professional Enrollment ID
I20091229000644
Address ID
VA243822326WY310XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

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Provider Addresses for GORDON W JENNINGS (OD PC)

  • East Main Street, Wytheville, Wythe County, Virginia, 24382, United States

    WYTHEVILLE, VA 243822326

    Phone: (276) 228-2771

    Fax: (276) 228-9097

    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 5 Open Payments records for all available years, with a total value of $337.

Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.

Last reported payment date: 2024-10-13 • Largest payer in this snapshot: Glaukos Corporation ($176).

Total Amount

$337

General + Research + Ownership

Payments

5

Total payment records

General Amount

$337

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-13

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: 2009-12-29

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
I20091229000644IOptometryVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes483337$0
92014Established patient complete exam of visual system357351$0
92134Imaging of retina297221$0
99212Established patient office or other outpatient visit, 10-19 minutes7257$0
92133Imaging of optic nerve6862$0
View full utilization report →

Insurance plans in this area (ZIP 24382)

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Provider's Procedures

GORDON W JENNINGS (OD PC) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYVA92012Eye and medical examination for diagnosis and treatment, established patient192165
OPTOMETRYVA92083Measurement of field of vision during daylight conditions3433
OPTOMETRYVA92134Diagnostic imaging of retina274214

Reviews

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Frequently asked questions

How is GORDON W JENNINGS (OD PC) identified in CMS data?
CMS-hosted NPPES data lists GORDON W JENNINGS (OD PC) with NPI 1669435533.
Can I rely on GORDON W JENNINGS (OD PC) being an active provider?
As of the registry snapshot, GORDON W JENNINGS (OD PC) is marked active.
What taxonomy line describes GORDON W JENNINGS (OD PC)?
For research purposes, treat GORDON W JENNINGS (OD PC) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What area does GORDON W JENNINGS (OD PC) serve?
GORDON W JENNINGS (OD PC)'s listing highlights Wytheville, Virginia; more addresses can appear in NPPES.
Why does GORDON W JENNINGS (OD PC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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