OPHTHALMIC PLASTIC SURGERY SPECIALISTS PLLC
NPI 1053410126
Ophthalmology in Jackson, MS
About Ophthalmic Plastic Surgery Specialists Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPHTHALMIC PLASTIC SURGERY SPECIALISTS PLLC (NPI 1053410126) is a healthcare organization registered as an ophthalmology in Jackson, Mississippi and active in the NPI registry since September 2006. The organization lists David Ronald Segrest, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ophthalmic Plastic Surgery Specialists Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Ophthalmic Plastic Surgery Specialists PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Jackson, MS 39216
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ophthalmic Plastic Surgery Specialists PLLC's NPI number?
The NPI number for Ophthalmic Plastic Surgery Specialists PLLC is 1053410126. It was assigned to this organization in the NPPES registry on September 22, 2006.
Where is Ophthalmic Plastic Surgery Specialists PLLC located?
Ophthalmic Plastic Surgery Specialists PLLC is located at 1421 North State St Ste 304, Jackson, MS 39202. The listed phone number is (601) 355-9537.
What is Ophthalmic Plastic Surgery Specialists PLLC's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Ophthalmic Plastic Surgery Specialists PLLC enrolled in Medicare?
Yes. Ophthalmic Plastic Surgery Specialists PLLC is registered in the Medicare PECOS enrollment system.
When is Ophthalmic Plastic Surgery Specialists PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ophthalmic Plastic Surgery Specialists PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Ophthalmic Plastic Surgery Specialists PLLC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ophthalmic Plastic Surgery Specialists PLLC accept?
Health plans from Cigna Healthcare list Ophthalmic Plastic Surgery Specialists PLLC 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 Ophthalmic Plastic Surgery Specialists PLLC was last updated on March 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.
# Ophthalmic Plastic Surgery Specialists Pllc · NPI 1053410126
Ophthalmology organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since September 22, 2006.
## Identity
- **NPI:** 1053410126 (Entity type: Organization)
- **Enumerated:** September 22, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** David Segrest, OWNER
## Practice location
- **Address:** 1421 NORTH STATE ST, STE 304, Jackson, MS 39202
- **Phone:** (601) 355-9537 · **Fax:** (601) 355-6893
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2010
- **Other identifiers:** Medicare ID-Type Unspecified C03272 (MS); Medicaid 00580070 (MS); Other DC7890; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1053410126) · Data from the CMS NPPES public registry.