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Jonathan P. Ludlow, OD

NPI 1417939604ActiveIndividual· Optometrist· Fort Drum, NY

Optometrist (OD) in Fort Drum, New York, trained at Illinois College of Optometry at Chicago (class of 1999). Their prescriptions cost Medicare Part D more than their services did: $5,735 for 16 claims, against $3,105 paid for services in 2024.

Overview

NPI1417939604
StatusActive
Entity typeIndividual
CredentialOD
Sole proprietorYes
NPI issuedNov 15, 2005
Last updated in NPPESNov 29, 2023
Certified by providerNov 29, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000XTUV0061121NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Optometry (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients36
Services billed38 across 4 procedure codes
Paid by Medicare$3,105

Part D prescriptions in 2024

Prescriptions (claims)16 · 22 30-day fills
Total drug cost$5,735

Medicare sources and data years

Education and affiliations

Medical schoolIllinois College of Optometry at Chicago
Graduation year1999
Medicare specialtyOptometry

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other optometrists in Fort Drum

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