ANNELLE GLEE MAYGREN (O.D.) – Optometrist, NPI 1477556488
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
146 OPTOMETRY in AK
Provider Addresses for ANNELLE GLEE MAYGREN (O.D.)
3100 CHANNEL DR STE 300
JUNEAU, AK 998017837
Phone: (907) 463-4074
Fax: (907) 463-1510
Type: Mailing
333 COLD STORAGE ROAD
CRAIG, AK 99921
Phone: (907) 755-4967
Fax: (907) 755-2414
Type: Location
Klawock Hollis Highway, Klawock, Unorganized Borough, Alaska, 99925, United States
#4
KLAWOCK, AK 999259800
Phone: (907) 755-4967
Fax: (907) 755-2414
Type: Location
PO BOX 89
KLAWOCK, AK 999250089
Phone: (907) 755-4967
Fax: (907) 755-2414
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $84.
Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.
Last reported payment date: 2024-05-03 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($84).
Total Amount
$84
General + Research + Ownership
Payments
1
Total payment records
General Amount
$84
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. | $84 |
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: 2012-07-10
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 |
|---|---|---|---|---|
| I20120710000689 | I | Optometry | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 151 | 141 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 89 | 60 | $0 |
| 92014 | Established patient complete exam of visual system | 77 | 77 | $0 |
| 92134 | Imaging of retina | 37 | 33 | $0 |
| 92133 | Imaging of optic nerve | 37 | 35 | $0 |
Insurance plans in this area (ZIP 99801)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | AK | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 51 | 48 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| - | TX | |
| - | AK | |
| Mental Health Counselor | AK | |
| - | WA | |
| - | WA | |
| Internal Medicine, Geriatric Medicine | AK | |
| - | AK | |
| Nurse Practitioner | FL | |
| - | FL |
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