DR. ALLYSON MERTINS (OD) – Optometrist, NPI 1093719957
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
422 OPTOMETRY in AR
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Provider Addresses for DR. ALLYSON MERTINS (OD)
1188, North Salem Road, Fayetteville, Washington County, Arkansas, 72704, United States
SUITE 12
FAYETTEVILLE, AR 727048807
Phone: (479) 442-8400
Fax: (800) 807-8144
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $186.
Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($88).
Total Amount
$186
General + Research + Ownership
Payments
11
Total payment records
General Amount
$186
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-09-11
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 |
|---|---|---|---|---|
| I20060911000328 | I | Optometry | AR | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 82 | 81 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 42 | $0 |
| 92133 | Imaging of optic nerve | 33 | 28 | $0 |
| 92083 | Exam of visual field with extended testing | 31 | 26 | $0 |
| 92134 | Imaging of retina | 17 | 15 | $0 |
Insurance plans in this area (ZIP 72704)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | AR | 92083 | Measurement of field of vision during daylight conditions | 31 | 29 |
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