DR. MATTHEW J LISENBY (O.D.) – Optometrist, NPI 1043516784
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
851 OPTOMETRY in CO
Provider Addresses for DR. MATTHEW J LISENBY (O.D.)
2545 Rimrock Ave
Grand Junction, CO 815058664
Phone: (970) 242-9050
Fax: (970) 242-0448
Type: Location
2770 WOODGATE RD
MONTROSE, CO 814015466
Phone: (970) 249-2330
Fax: (970) 249-6131
Type: Mailing
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 $193.
Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.
Last reported payment date: 2023-09-28 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($105).
Total Amount
$193
General + Research + Ownership
Payments
5
Total payment records
General Amount
$193
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-28
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: 2012-07-25
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 |
|---|---|---|---|---|
| I20120725001109 | I | Optometry | CO | 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 |
|---|---|---|---|---|
| 92250 | Photography of the retina | 320 | 303 | $0 |
| 92014 | Established patient complete exam of visual system | 254 | 242 | $0 |
| 92012 | Established patient problem focused exam of visual system | 190 | 132 | $0 |
| 92004 | New patient complete exam of visual system | 87 | 87 | $0 |
| 92083 | Exam of visual field with extended testing | 60 | 53 | $0 |
Insurance plans in this area (ZIP 81505)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | CO | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 117 | 95 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | CO |
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