DAVID A JACOBY OD CHARTERED
NPI 1043386287
Eyewear Supplier in Osage City, KS
About David A Jacoby Od Chartered NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID A JACOBY OD CHARTERED (NPI 1043386287) is a healthcare organization registered as an eyewear supplier in Osage City, Kansas and active in the NPI registry since November 2006. The organization lists Jody Buller, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
David A Jacoby Od Chartered is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to David A Jacoby Od Chartered, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories David A. Jacoby, O.D., Chartered carries, from the Medicare DMEPOS supplier directory.
David A. Jacoby, O.D., Chartered
DMEPOS supplier · Osage City, KSAccepts Medicare assignment
David A. Jacoby, O.D., Chartered agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is David A Jacoby Od Chartered's NPI number?
The NPI number for David A Jacoby Od Chartered is 1043386287. It was assigned to this organization in the NPPES registry on November 28, 2006.
Where is David A Jacoby Od Chartered located?
David A Jacoby Od Chartered is located at 131 W Market St Ste A, Osage City, KS 66523. The listed phone number is (785) 528-4136.
What is David A Jacoby Od Chartered's specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
Is David A Jacoby Od Chartered enrolled in Medicare?
Yes. David A Jacoby Od Chartered is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through David A Jacoby Od Chartered?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to David A Jacoby Od Chartered. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does David A Jacoby Od Chartered accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, David A. Jacoby, O.D., Chartered accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does David A Jacoby Od Chartered accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list David A Jacoby Od Chartered as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for David A Jacoby Od Chartered was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# David A Jacoby Od Chartered · NPI 1043386287
Eyewear Supplier organization in Osage City, Kansas. Organization record, active in the CMS NPPES registry since November 28, 2006.
## Identity
- **NPI:** 1043386287 (Entity type: Organization)
- **Enumerated:** November 28, 2006
- **Primary specialty:** Eyewear Supplier · taxonomy 332H00000X
- **Organization subpart:** No
- **Authorized official:** Jody Buller, PRESIDENT
## Practice location
- **Address:** 131 W MARKET ST STE A, Osage City, KS 66523
- **Phone:** (785) 528-4136 · **Fax:** (785) 528-3422
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2025
- **Other identifiers:** Medicaid 30004700180001 (KS)
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Source: [NPI Profile](https://npiprofile.com/npi/1043386287) · Data from the CMS NPPES public registry.