Peter Damien Jacques, OD
NPI 1558904409ActiveIndividual· Optometrist· Wildwood, MO
Optometrist (OD) in Wildwood, Missouri, trained at University of Missouri St Louis - School of Optometry (class of 2019). Mostly services rather than prescriptions: Medicare paid $22,008 for 117 patients in 2024, with only 12 Part D claims. Alcon Vision LLC was the largest of 3 companies reporting payments in 2025, $367.64 in all, mostly food and beverage.
Overview
| NPI | 1558904409 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Oct 23, 2019 |
| Last updated in NPPES | Sep 7, 2021 |
| Certified by provider | Sep 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2019039864 | MO |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 117 |
|---|---|
| Services billed | 319 across 22 procedure codes |
| Paid by Medicare | $22,008 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12 · 20 30-day fills |
|---|---|
| Total drug cost | $192.99 |
Education and affiliations
| Medical school | University of Missouri St Louis - School of Optometry |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Optometry |
Industry payments (Open Payments)
- 2025$367.64 · 4 payments from 3 companies
- 2024$129.17 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $150.09 | 2 |
| Tarsus Pharmaceuticals, Inc. | $123.01 | 1 |
| Coopervision Inc. | $94.54 | 1 |
What the 2025 payments were for
- Food and Beverage$367.64 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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