Doctor profile · Federal record
Dr. Jason Jedlicka, O.D.
Optometrist (CMS: Optometry) · Optometrist · Bloomington, IN
- NPI 1669484622
- Accepts Medicare
- 30 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
744 E 3Rd St
Bloomington, IN 474053603
(812) 855-8436
fax (812) 855-1683
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- January 12, 2026
- Year of graduation
- 1996 — 30 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State licenses (2)
- Indiana #18003875 · Minnesota #2631
- Medicaid (2)
- MN #638817500 · IN #201259190
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669484622. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
47
Distinct HCPCS
2
Medicare allowed
$4,071
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 35 | 26 | $79 | |
92014 |
Established patient complete exam of visual system | 12 | 12 | $109 |
In context: peer comparison
Among 24 peers in Bloomington Optometrist, average services per provider: 69. This provider delivers 0.7× the peer median.Open Payments
Industry payments received
All-time total
$55,729
Transactions
41
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bausch & Lomb Americas INC. | 36 | $52,484.22 | |
| Oculus, INC. | 3 | $3,092.00 | |
| Sun Pharmaceutical Industries INC. | 1 | $104.17 | |
| Glaukos Corporation | 1 | $48.96 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
12
Patients
0
Total drug cost
$8,875
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Xiidra (Lifitegrast) | Brand | 12 | 0 | $8,875 |
Frequently asked questions
What is Dr. Jason Jedlicka's medical specialty?
Dr. Jason Jedlicka practices Optometrist in Bloomington, IN.
Where does Dr. Jason Jedlicka practice?
Dr. Jason Jedlicka practices at 744 E 3Rd St, Bloomington, IN 474053603. Office phone: 8128558436.
What is Dr. Jason Jedlicka's NPI?
Dr. Jason Jedlicka's National Provider Identifier (NPI) is 1669484622, issued by NPPES.
Does Dr. Jason Jedlicka accept Medicare assignment?
Yes. Dr. Jason Jedlicka accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jason Jedlicka commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient complete exam of visual system (HCPCS 92014). Source: CMS Medicare Physician & Other Practitioners file.