DR. THOMAS JEFFREY WAGNER (OD MS) – Optometrist, NPI 1114993789
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
530 OPTOMETRY in CT
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Provider Addresses for DR. THOMAS JEFFREY WAGNER (OD MS)
Killingworth Land Conservation Trust, Inc. (Route 148), Killingworth, Middlesex County, Connecticut, United States
KILLINGWORTH, CT 064191107
Phone: (860) 405-5555
Type: Mailing
12, Roosevelt Avenue, Mystic, Stonington, New London County, Connecticut, 06355, United States
MYSTIC, CT 063552809
Phone: (860) 536-1313
Fax: (860) 572-7770
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $185.
Total Amount is formed as General ($185) + Research ($0) + Ownership ($0) = $185.
Last reported payment date: 2023-09-09 • Largest payer in this snapshot: Apellis Pharmaceuticals, Inc. ($105).
Total Amount
$185
General + Research + Ownership
Payments
3
Total payment records
General Amount
$185
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Apellis Pharmaceuticals, Inc. | $105 |
| GENZYME CORPORATION | $45 |
| Lombart Brothers, Inc. | $35 |
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: 2007-06-23
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 |
|---|---|---|---|---|
| I20070623000086 | I | Optometry | CT | 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 |
|---|---|---|---|---|
| 92201 | Extended exam of the back part of the eye with retinal drawing | 46 | 44 | $0 |
| 92014 | Established patient complete exam of visual system | 39 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 30 | $0 |
| 92020 | Exam of the internal drainage system of eye | 30 | 30 | $0 |
| 92250 | Photography of the retina | 29 | 29 | $0 |
Insurance plans in this area (ZIP 06419)
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