JONATHAN ALAN GUDEMAN (O.D.) – Optometrist, NPI 1760477228

JONATHAN ALAN GUDEMAN (O.D.) is a healthcare provider. based in Salem, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 0618000618 (VA). The NPI Number for JONATHAN ALAN GUDEMAN (O.D.) is 1760477228

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN ALAN GUDEMAN (O.D.)
NPI
1760477228
Phone
(540) 387-1183
Address
101 W 4TH ST
Enumeration Date
12 September 2005
Last Update Date
26 September 2011

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5403871183
Graduation Year
1996 (30 years ago)
PAC ID
6002825171
Group Practice PAC ID
4688683741
Professional Enrollment ID
I20060418000489
Address ID
VA241534907SA101XXSTXX400
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

1,055 OPTOMETRY in VA

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Provider Addresses for JONATHAN ALAN GUDEMAN (O.D.)

  • 101, West 4th Street, Hockman, Salem, Virginia, 24153, United States

    SALEM, VA 241533638

    Phone: (540) 387-1183

    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 12 Open Payments records for all available years, with a total value of $305.

Total Amount is formed as General ($305) + Research ($0) + Ownership ($0) = $305.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($137).

Total Amount

$305

General + Research + Ownership

Payments

12

Total payment records

General Amount

$305

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

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: 2006-04-18

PECOS data refreshed: 2026-06-15

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
I20060418000489IOptometryVATBD

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
66984Removal of cataract with insertion of prosthetic lens1,76314$0
92014Established patient complete exam of visual system362357$0
92250Photography of the retina303294$0
99213Established patient office or other outpatient visit, 20-29 minutes231143$0
92083Exam of visual field with extended testing9678$0
View full utilization report →

Insurance plans in this area (ZIP 24153)

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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: 4688683741View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA

Reviews

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Frequently asked questions

What federal number belongs to JONATHAN ALAN GUDEMAN (O.D.)?
The federal identifier for JONATHAN ALAN GUDEMAN (O.D.) is NPI 1760477228.
Does this profile mean JONATHAN ALAN GUDEMAN (O.D.) is currently active?
Yes — JONATHAN ALAN GUDEMAN (O.D.) appears active in the national provider directory.
What field does JONATHAN ALAN GUDEMAN (O.D.) work in?
You can think of JONATHAN ALAN GUDEMAN (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place JONATHAN ALAN GUDEMAN (O.D.)?
The snapshot lists Salem, Virginia for JONATHAN ALAN GUDEMAN (O.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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