Jerianne Montgomery, OD
NPI 1164844734ActiveIndividual· Optometrist· Maple Valley, WA
Optometrist (OD) in Maple Valley, Washington, trained at University of Waterloo - School of Optometry (class of 2003). Their prescriptions cost Medicare Part D more than their services did: $25,572 for 172 claims, against $8,250 paid for services in 2024. Alcon Vision LLC was the largest of 3 companies reporting payments in 2024, $303.12 in all, mostly food and beverage.
Overview
| NPI | 1164844734 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | Yes |
| NPI issued | Jan 15, 2014 |
| Last updated in NPPES | Jan 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 60314137 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 105 across 14 procedure codes |
| Paid by Medicare | $8,250 |
Part D prescriptions in 2024
| Prescriptions (claims) | 172 · 264 30-day fills |
|---|---|
| Patients | 60 |
| Total drug cost | $25,572 |
| Generic share | 59% of claims |
Education and affiliations
| Medical school | University of Waterloo - School of Optometry |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | Optometry |
Medical group
- Maple Valley Eye Care Center PsMaple Valley, WA · 5 clinicians
Industry payments (Open Payments)
- 2024$303.12 · 5 payments from 3 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $191.17 | 3 |
| Bausch & Lomb Americas Inc. | $101.07 | 1 |
| Lkc Technologies, Inc. | $10.88 | 1 |
What the 2024 payments were for
- Food and Beverage$303.12 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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