DR. CODY PATTERSON (O.D.) – Optometrist, NPI 1417330101
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
424 OPTOMETRY in AR
Provider Addresses for DR. CODY PATTERSON (O.D.)
1815 E HIGHLAND DR
JONESBORO, AR 724016118
Phone: (870) 931-2020
Fax: (870) 932-8004
Type: Location
HWY 67 South
Pocahontas, AR 72455
Phone: (870) 932-2211
Type: Location
623 E MATTHEWS AVE STE A
JONESBORO, AR 724013145
Phone: (870) 932-2211
Fax: (870) 972-5152
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $223.
Total Amount is formed as General ($223) + Research ($0) + Ownership ($0) = $223.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Alcon Vision LLC ($223).
Total Amount
$223
General + Research + Ownership
Payments
5
Total payment records
General Amount
$223
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $223 |
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: 2015-09-30
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20150930000887 | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 103 | 93 | $0 |
| 92004 | New patient complete exam of visual system | 68 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 55 | $0 |
| 92014 | Established patient complete exam of visual system | 52 | 51 | $0 |
| 92250 | Photography of the retina | 28 | 26 | $0 |
Insurance plans in this area (ZIP 72401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | AR | |
| - | AR | |
| O P H T H A L M O L O G Y | AR | |
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | AR | |
| O P H T H A L M O L O G Y | AR |
Reviews
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