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DR. JERRY LEE MULLEN O.D.
NPI 1619073749
Optometrist in Oklahoma City, OK

Active since September 16, 2006PECOS Enrolled
7101 NW EXPRESSWAY, #130, OKLAHOMA CITY, OK 73132(405) 721-7450(405) 721-7491 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jerry Lee Mullen O.d. NPPES

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

DR. JERRY LEE MULLEN O.D. (NPI 1619073749) is an individual optometrist in Oklahoma City, Oklahoma, licensed in Oklahoma (963) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619073749
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JERRY LEE MULLENCredential: O.D.
Location Address7101 NW EXPRESSWAY, #130Oklahoma City, OK 73132-1584
Mailing Address7101 Nw Expressway, Ste 130Oklahoma City, OK 73132-1584 · (405) 721-7450 · Fax (405) 721-7491
Phone(405) 721-7450
Fax(405) 721-7491
Sole ProprietorYes
Enumeration DateSeptember 16, 2006
Last NPPES UpdateNovember 30, 2016
✔ NPI 1619073749 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 OK · 963
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.
7101 NW EXPRESSWAY, Oklahoma City, OK 73132
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Other Identifiers 6

Medicare UPINT40582OK
Medicaid200083220BOK
Medicaid200083220AOK
OtherP00068003OK · Medicare Railroad
Medicare NSC5257470001OK
Medicare PIN800522248OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry Lee Mullen O.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jerry Mullen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jerry L. Mullen, O.D., P.C.
Same address
Optometrist
7101 NW EXPRESSWAY, #130
Oklahoma City, OK 73132
  • Reassigned Medicare billing, Oklahoma enrollment
NPI 1285841601 (405) 721-7450
Med Southwest, PLLC
Same address
Optometrist
7101 NW EXPRESSWAY STE 130
Oklahoma City, OK 73132
  • Reassigned Medicare billing, Oklahoma enrollment
  • 43 clinicians in this Medicare group
NPI 1467226068 (405) 721-7450
Kingfisher Family Eyecare
26 mi
Optometrist
922 S MAIN ST
Kingfisher, OK 73750
  • Reassigned Medicare billing, Oklahoma enrollment
  • 2 clinicians in this Medicare group
NPI 1528728797 (405) 375-3128

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 3

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
94 services91 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services76 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73132 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 4

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

KASEY BETH BROWN D.O.
Student in an Organized Health Care Education/Training Program
7101 NW EXPRESSWAY, STE 335
OKLAHOMA CITY, OK 73132
Oklahoma County (405) 722-2020
SOUTHWEST EYE INSTITUTE, INC.
Ophthalmology
7101 NW EXPRESSWAY, SUITE 335
OKLAHOMA CITY, OK 73132
Oklahoma County (405) 722-2020
JERRY L. MULLEN, O.D., P.C.
Optometrist
7101 NW EXPRESSWAY, #130
OKLAHOMA CITY, OK 73132
Oklahoma County (405) 721-7450
DR. RONALD LUKE REBENITSCH M.D.
Ophthalmology
7101 NW EXPRESSWAY, SUITE 335
OKLAHOMA CITY, OK 73132
Oklahoma County (405) 733-2020

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 Jerry Mullen's NPI number?

The NPI number for Jerry Mullen is 1619073749. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Jerry Mullen located?

Jerry Mullen practices at 7101 NW Expressway #130, Oklahoma City, OK 73132. The listed phone number is (405) 721-7450.

What is Jerry Mullen's specialty?

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

Is Jerry Mullen enrolled in Medicare?

Yes. Jerry Mullen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jerry Mullen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Mullen reassigns Medicare benefits to 3 organizations: Jerry L. Mullen, O.D., P.C. (Oklahoma City, OK), Med Southwest, PLLC (Oklahoma City, OK) and Kingfisher Family Eyecare (Kingfisher, OK). 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 Jerry Mullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Mullen accept?

Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 3 other insurers list Jerry Mullen 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 Jerry Mullen was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.