DR. CARLOS EDUARDO PESSOA (O.D.) – Optometrist, NPI 1114377173
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,909 OPTOMETRY in CA
Provider Addresses for DR. CARLOS EDUARDO PESSOA (O.D.)
65 N HOCKETT ST
PORTERVILLE, CA 93257
Phone: (877) 960-3426
Type: Mailing
1498, Merchants Drive, Canaan Heights, Dallas, Paulding County, Georgia, 30132, United States
DALLAS, GA 301325064
Phone: (770) 445-2715
Type: Mailing
800 MCCULLOUGH AVE
SAN ANTONIO, TX 782151625
Phone: (210) 226-6169
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $1,657.
Total Amount is formed as General ($1,657) + Research ($0) + Ownership ($0) = $1,657.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($1,034).
Total Amount
$1,657
General + Research + Ownership
Payments
18
Total payment records
General Amount
$1,657
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS, INC. | $1,034 |
| BIOTISSUE HOLDINGS INC. | $605 |
| Oyster Point Pharma, Inc. | $18 |
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: 2021-05-07
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 |
|---|---|---|---|---|
| I20210507001436 | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 169 | 104 | $0 |
| 92014 | Established patient complete exam of visual system | 90 | 89 | $0 |
| 92004 | New patient complete exam of visual system | 43 | 43 | $0 |
| 92134 | Imaging of retina | 42 | 42 | $0 |
| 92250 | Photography of the retina | 30 | 30 | $0 |
Insurance plans in this area (ZIP 93257)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| Family Practice | TX | |
| - | TX | |
| O P H T H A L M O L O G Y | MS | |
| O P T O M E T R Y | TX | |
| - | WA | |
| - | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TX |
Reviews
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