Jackelleyn Mudd, OD
NPI 1609305580 · Optometrist · Bowling Green, MO
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1609305580
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 2017017079 (MO)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
271 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Complete Exam of Visual System92014 | 66 | $113 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 41 | $74 |
| Imaging of Retina92134 | 40 | $33 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 30 | $49 |
| Imaging of Optic Nerve92133 | 27 | $30 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 26 | $97 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 134 | 29 |
| Timolol Maleate | 58 | 14 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 33 | — |
| Prednisolone Acetate | 22 | 21 |
| Brimonidine Tartrate | 20 | — |
| Cyclosporinebrand: Restasis | 20 | — |
| Brimonidine Tartrate/Timololbrand: Combigan | 13 | — |
Practice location
Mailing address
Additional practice locations (2)
- 43 Ellis AveTroy, MO 63379-1151Phone: (636) 528-4144
- 102 Eagles Bluff HtsWinfield, MO 63389-3453Phone: (636) 668-6171
Registry dates
- Enumerated
- 2017-06-05
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.