DR. KRIS-ANN SHANIQUE HUMPHREY (M.D.) – Glaucoma Specialist (Ophthalmology) Physician, NPI 1013302660
Glaucoma Specialist (Ophthalmology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
840 OPHTHALMOLOGY in OH
Provider Addresses for DR. KRIS-ANN SHANIQUE HUMPHREY (M.D.)
790 CONCOURSE PKWY S
MAITLAND, FL 327516114
Phone: (407) 767-6411
Fax: (407) 767-8160
Type: Mailing
3535 Southern Blvd
Kettering, OH 454291221
Phone: (937) 384-6800
Fax: (937) 384-6938
Type: Location
790 CONCOURSE PKWY S STE 200
MAITLAND, FL 327516114
Phone: (407) 767-6411
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $707.
Total Amount is formed as General ($707) + Research ($0) + Ownership ($0) = $707.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Alcon Vision LLC ($333).
Total Amount
$707
General + Research + Ownership
Payments
27
Total payment records
General Amount
$707
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $333 |
| NEW WORLD MEDICAL,INC. | $136 |
| ABBVIE INC. | $71 |
| Sight Sciences, Inc. | $53 |
| Amgen Inc. | $49 |
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: 2020-09-11
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 |
|---|---|---|---|---|
| I20200911001018 | I | Ophthalmology | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 501 | 288 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 434 | 257 | $0 |
| 92083 | Exam of visual field with extended testing | 225 | 200 | $0 |
| 92133 | Imaging of optic nerve | 198 | 193 | $0 |
| 92020 | Exam of the internal drainage system of eye | 148 | 145 | $0 |
Insurance plans in this area (ZIP 32751)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| U R O L O G Y | NH | |
| - | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | NC | |
| Physician Assistant | NC | |
| - | VA | |
| Internal Medicine | NC |
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