JACQUELYN TYRA, OD

Optometrist · ASHBURN, VA

Individual Active NPI 1154896363

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	30	45	$7,297	$4,558	$3,027
2023	14	18	$3,150	$2,196	$1,463

HCPCS	Description	Services	Avg allowed	Avg paid
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	$107	$67

Specialty	Code	Primary	License	State
Optometrist	152W00000X	✓	0618002779	VA

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.