DR. JONATHAN TYLER THAYER OD
NPI 1124718689
Optometrist in Wentzville, MO

Q: What is Jonathan Thayer's NPI number?

The NPI number for Jonathan Thayer is 1124718689. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Q: What is Jonathan Thayer's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Thayer was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 09, 2023PECOS EnrolledAccepts Medicare Assignment

1894 WENTZVILLE PKWY, WENTZVILLE, MO 63385(636) 887-4000(636) 887-4095 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2025, Aug 1, 2024, May 9, 2023 (3 updates tracked since 2023).

On this page

About Dr. Jonathan Tyler Thayer Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN TYLER THAYER OD (NPI 1124718689) is an individual optometrist in Wentzville, Missouri, licensed in Missouri (2024019038) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Missouri St Louis - School Of Optometry (2024).

NPPES Registry Identity

NPI1124718689

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JONATHAN TYLER THAYERCredential: OD

Location Address1894 WENTZVILLE PKWYWentzville, MO 63385-3820

Mailing Address15933 Clayton RdBallwin, MO 63011-2172 · (636) 200-4393

Phone(636) 887-4000

Fax(636) 887-4095

Sole ProprietorNo

Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2024

Enumeration DateMay 9, 2023

Last NPPES UpdateMay 21, 20253 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1124718689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MO · 2024019038

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1894 WENTZVILLE PKWY, Wentzville, MO 63385

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Secondary Practice Locations 2

Location 1390 Mid Rivers Mall DrSaint Peters, MO 63376-1565 · Phone (636) 279-2020 · Fax (636) 279-1055

Location 26313 Ronald Reagan DrLake St Louis, MO 63367-2681 · Phone (636) 561-2342 · Fax (636) 561-2362

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Tyler Thayer Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254879968

PECOS Enrollment IDI20240813002126

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63385 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DIANE MARIE JESSEN O.D.

Optometrist

1894 WENTZVILLE PKWY
WENTZVILLE, MO 63385

St. Charles County (636) 377-2054

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 Jonathan Thayer's NPI number?

The NPI number for Jonathan Thayer is 1124718689. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is Jonathan Thayer located?

Jonathan Thayer practices at 1894 Wentzville Pkwy, Wentzville, MO 63385. The listed phone number is (636) 887-4000.

What is Jonathan Thayer's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jonathan Thayer enrolled in Medicare?

Yes. Jonathan Thayer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jonathan Thayer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 10 other insurers list Jonathan Thayer 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 Jonathan Thayer was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.