Jacquelyn Tyra, OD
NPI 1154896363 · Optometrist · Ashburn, VA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacquelyn Tyra, OD is a Optometrist provider in Ashburn, VA (NPI 1154896363).
Provider details
- NPI number
- 1154896363
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0618002779 (VA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
14 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 14 | $107 |
Typical Medicare-allowed amounts for these services range $107–$107 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$127 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-04
- Last updated
- 2023-05-23
- Certified
- 2023-05-23
Frequently asked questions
- What is Jacquelyn Tyra's NPI number?
- Jacquelyn Tyra's National Provider Identifier (NPI) is 1154896363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquelyn Tyra's specialty?
- Jacquelyn Tyra is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Jacquelyn Tyra located?
- Jacquelyn Tyra's practice location on file with NPPES is 43490 Yukon Dr Ste 200, Ashburn, VA 20147-7315.
- What is Jacquelyn Tyra's phone number?
- The practice phone number listed in the NPPES registry for Jacquelyn Tyra is (703) 724-0330.
- Does Jacquelyn Tyra accept Medicare?
- Jacquelyn Tyra is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacquelyn Tyra's NPI active?
- Yes — Jacquelyn Tyra's NPI (1154896363) is active in the NPPES registry as of the last update on 2023-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.