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JERRY NORTHCUTT O.D.
NPI 1669521993
Optometrist in Ennis, TX

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
2405 YORKSTOWN DR, ENNIS, TX 75119(972) 878-3181 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Northcutt O.d. NPPES

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

JERRY NORTHCUTT O.D. (NPI 1669521993) is an individual optometrist in Ennis, Texas, licensed in Texas (5150TG) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1995).

NPPES Registry Identity

NPI1669521993
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJERRY NORTHCUTTCredential: O.D.
Location Address2405 YORKSTOWN DREnnis, TX 75119-2191
Mailing Address2405 Yorkstown DrEnnis, TX 75119-2191 · (972) 878-3181
Phone(972) 878-3181
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1995
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 23, 2013
✔ NPI 1669521993 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 TX · 5150TG
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.
2405 YORKSTOWN DR, Ennis, TX 75119
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Other Identifiers 3

Medicare UPINU57169TX
Medicare ID-Type Unspecified82861ETX
Medicaid0409989-01TX

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 and accepts Medicare assignment

Jerry Northcutt 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.

PECOS PAC ID7214045053
PECOS Enrollment IDI20160318001678
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.

Areas of Expertise CMS Part B claims

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75119 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 2

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

ADELL ANN ELIZABETH WALTERS OD
Optometrist
2405 YORKSTOWN DR
ENNIS, TX 75119
Ellis County (972) 895-7205
JERRY NORTHCUTT, PLLC
Optometrist
2405 YORKSTOWN DR
ENNIS, TX 75119
Ellis County (972) 875-3181

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 Northcutt's NPI number?

The NPI number for Jerry Northcutt is 1669521993. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Jerry Northcutt located?

Jerry Northcutt practices at 2405 Yorkstown Dr, Ennis, TX 75119. The listed phone number is (972) 878-3181.

What is Jerry Northcutt's specialty?

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

Is Jerry Northcutt enrolled in Medicare?

Yes. Jerry Northcutt 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 Jerry Northcutt accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Jerry Northcutt 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 Northcutt was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.