JAZZMON LEE NGUEDJO O.D.
NPI 1417306697
Optometrist in Baltimore, MD
About Jazzmon Lee Nguedjo O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAZZMON LEE NGUEDJO O.D. (NPI 1417306697) is an individual optometrist in Baltimore, Maryland, licensed in Maryland (TA2536) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jazzmon Lee Nguedjo O.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jazzmon Nguedjo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21244
- Reassigned Medicare billing, Maryland enrollment
- 78 clinicians in this Medicare group
Annapolis, MD 21401
- Reassigned Medicare billing, District of Columbia enrollment
- 2,492 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 13
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21244
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 Jazzmon Nguedjo's NPI number?
The NPI number for Jazzmon Nguedjo is 1417306697. It was assigned to this individual provider in the NPPES registry on June 8, 2016. The provider is also known as Jazzmon Sherman Od.
Where is Jazzmon Nguedjo located?
Jazzmon Nguedjo practices at 2925 Lord Baltimore Dr Suite 300, Baltimore, MD 21244. The listed phone number is (410) 277-3937.
What is Jazzmon Nguedjo's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jazzmon Nguedjo enrolled in Medicare?
Yes. Jazzmon Nguedjo 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.
Which organizations bill Medicare for Jazzmon Nguedjo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jazzmon Nguedjo reassigns Medicare benefits to 2 organizations: Chesapeake Eye Care & Laser Center LLC (Baltimore, MD) and Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Annapolis, MD). Each 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 Jazzmon Nguedjo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jazzmon Nguedjo was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jazzmon Lee Nguedjo, O.D. · NPI 1417306697
Optometrist provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since June 8, 2016.
## Identity
- **NPI:** 1417306697 (Entity type: Individual)
- **Enumerated:** June 8, 2016
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TA2536 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2925 LORD BALTIMORE DR, SUITE 300, Baltimore, MD 21244-2653
- **Phone:** (410) 277-3937 · **Fax:** (410) 281-9388
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Chesapeake Eye Care & Laser Center LLC (NPI 1588298293, Baltimore, MD); Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1952461816, Annapolis, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania College Of Optometry, class of 2016
## Record status
- **NPPES last updated:** January 25, 2022
- **Other identifiers:** Other TA2536 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1417306697) · Data from the CMS NPPES public registry.