DR. DAVID JUSTIN HOLDGRAFER (O.D.) – Optometrist, NPI 1124572805
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
146 OPTOMETRY in AK
Provider Addresses for DR. DAVID JUSTIN HOLDGRAFER (O.D.)
155 SMITH WAY STE 202
SOLDOTNA, AK 996698060
Phone: (907) 262-3168
Fax: (888) 220-2134
Type: Mailing
170 E CORRAL AVE STE 1
SOLDOTNA, AK 996697548
Phone: (907) 262-3168
Fax: (888) 220-2134
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-09-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160929001814 | I | Optometry | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92250 | Photography of the retina | 391 | 325 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 290 | 178 | $0 |
| 92014 | Established patient complete exam of visual system | 174 | 172 | $0 |
| 92083 | Exam of visual field with extended testing | 125 | 93 | $0 |
| 92004 | New patient complete exam of visual system | 49 | 49 | $0 |
Insurance plans in this area (ZIP 99669)
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