Doctor profile · Federal record

Dr. Jonathan Ludlow, OD

Optometrist (CMS: Optometry) · Fort Drum, NY

  • NPI 1417939604
  • Accepts Medicare
  • 27 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
10730A Enduring Freedom Dr Ste A
Fort Drum, NY 136025405
(315) 405-8671
fax (315) 773-1820
Mailing address
10730A Enduring Freedom Dr
Fort Drum, NY 136025405

Credentials & registration

NPPES · NUCC
NPI registered
November 2005 — 21 yrs on file
Profile last updated
November 29, 2023
Year of graduation
1999 — 27 yrs since
Specialty taxonomy
152W00000X — NUCC code
State license (1)
New York #TUV0061121
Medicaid
NY #02008780

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1417939604. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
19
Distinct HCPCS
1
Medicare allowed
$2,731
HCPCS Description Services Patients Avg allowed
92004 New patient complete exam of visual system 19 19 $144

In context: peer comparison

Among 1 peers in Fort Drum Optometrist, average services per provider: 19. This provider delivers 1.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Jonathan Ludlow's medical specialty?
Dr. Jonathan Ludlow practices Optometrist in Fort Drum, NY.
Where does Dr. Jonathan Ludlow practice?
Dr. Jonathan Ludlow practices at 10730A Enduring Freedom Dr Ste A, Fort Drum, NY 136025405. Office phone: 3154058671.
What is Dr. Jonathan Ludlow's NPI?
Dr. Jonathan Ludlow's National Provider Identifier (NPI) is 1417939604, issued by NPPES.
Does Dr. Jonathan Ludlow accept Medicare assignment?
Yes. Dr. Jonathan Ludlow accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jonathan Ludlow commonly perform?
Top Medicare-reported procedures in 2023: New patient complete exam of visual system (HCPCS 92004). Source: CMS Medicare Physician & Other Practitioners file.