PEDRO SOIBELMANN TETELBOM (M.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1346736337
Retina Specialist (Ophthalmology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,893 OPHTHALMOLOGY in NY
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Provider Addresses for PEDRO SOIBELMANN TETELBOM (M.D.)
9800 BAPTIST HEALTH DRIVE
SUITE 200
LITTLE ROCK, AR 722056243
Phone: (501) 219-0900
Fax: (501) 312-4750
Type: Mailing
NYC Health + Hospitals/Metropolitan, 1901, 1st Avenue, Yorkville, Robert F. Wagner Houses, Manhattan, New York County, New York, 10129, United States
NEW YORK, NY 100297491
Phone: (212) 423-6271
Type: Mailing
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 722057101
Phone: (501) 686-8000
Fax: (501) 526-5148
Type: Mailing
4301 W MARKHAM ST # 523
LITTLE ROCK, AR 722057101
Phone: (501) 686-5822
Fax: (501) 526-6780
Type: Location
RETINA ASSOCIATES, P.A.
9800 BAPTIST HEALTH DRIVE, SUITE 200
LITTLE ROCK, AR 722057101
Phone: (501) 219-0900
Fax: (501) 312-4750
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $204.
Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($55).
Total Amount
$204
General + Research + Ownership
Payments
8
Total payment records
General Amount
$204
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
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: 2022-06-13
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 |
|---|---|---|---|---|
| I20220613000859 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 92134 | Imaging of retina | 18 | 17 | $0 |
Insurance plans in this area (ZIP 72205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | NE | |
| O P H T H A L M O L O G Y | AR | |
| O P H T H A L M O L O G Y | AR | |
| O P H T H A L M O L O G Y | AR | |
| O P H T H A L M O L O G Y | WI | |
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | AR |
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