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JIMMY H ELAM OD
NPI 1194718379
Optometrist in Poplar Bluff, MO

Active since August 24, 2005PECOS Enrolled
2511 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 686-5866(618) 997-6250 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jimmy H Elam Od NPPES

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

JIMMY H ELAM OD (NPI 1194718379) is an individual optometrist in Poplar Bluff, Missouri, licensed in Missouri (2189) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194718379
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJIMMY H ELAMCredential: OD
Location Address2511 N WESTWOOD BLVDPoplar Bluff, MO 63901-2338
Mailing AddressPo Box 1178Marion, IL 62959-7678 · (618) 993-5686 · Fax (618) 997-6250
Phone(573) 686-5866
Fax(618) 997-6250
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateDecember 13, 2011
✔ NPI 1194718379 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 · 2189
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.
2511 N WESTWOOD BLVD, Poplar Bluff, MO 63901
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Other Identifiers 7

Medicare NSC0814870013MO
Medicare PIN904000004MO
Medicaid1194718379MO
Medicare NSC0814870011MO
Medicare NSC0814870006MO
Medicare NSC0814870017MO
Medicare NSC0814870015MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Jimmy H Elam Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 63901 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 3

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

MICHAEL BILLINGS O.D.
Optometrist
2511 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-5866
TIMOTHY BLANKENSHIP O.D.
Optometrist
2511 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-5866
MARION EYE CENTERS, LTD.
Durable Medical Equipment & Medical Supplies
2511 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-5866

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 Jimmy Elam's NPI number?

The NPI number for Jimmy Elam is 1194718379. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Jimmy Elam located?

Jimmy Elam practices at 2511 N Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 686-5866.

What is Jimmy Elam's specialty?

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

Is Jimmy Elam enrolled in Medicare?

Yes. Jimmy Elam is registered in the Medicare PECOS enrollment system.

What insurance does Jimmy Elam accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, 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 Jimmy Elam 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 Jimmy Elam was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.