RYAN SACKSTEDER (O.D.) – Optometrist, NPI 1265780555

RYAN SACKSTEDER (O.D.) is a healthcare provider. based in Largo, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC4734 (FL). The NPI Number for RYAN SACKSTEDER (O.D.) is 1265780555

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
RYAN SACKSTEDER (O.D.)
NPI
1265780555
Phone
(727) 581-8706
Address
148 13TH ST SW
Enumeration Date
17 August 2012
Last Update Date
13 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275818706
Graduation Year
2012 (14 years ago)
PAC ID
3678722089
Group Practice PAC ID
5092629071
Professional Enrollment ID
I20120928000468
Address ID
FL337703127LA148XXSWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

Provider Addresses for RYAN SACKSTEDER (O.D.)

  • 148 13TH ST SW

    LARGO, FL 337703127

    Phone: (727) 581-8706

    Fax: (727) 586-3743

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $1,291.

Total Amount is formed as General ($1,291) + Research ($0) + Ownership ($0) = $1,291.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: ABBVIE INC. ($395).

Total Amount

$1,291

General + Research + Ownership

Payments

36

Total payment records

General Amount

$1,291

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-09-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120928000468IOptometryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system449419$0
92012Established patient problem focused exam of visual system387295$0
92250Photography of the retina193191$0
92004New patient complete exam of visual system109109$0
92083Exam of visual field with extended testing9089$0
View full utilization report →

Insurance plans in this area (ZIP 33770)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092629071View full group profile
NameSpecialtyState
-FL
O P H T H A L M O L O G YFL
-FL
-FL
O P H T H A L M O L O G YWA
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
Physician AssistantFL

Reviews

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Frequently asked questions

How do payers reference RYAN SACKSTEDER (O.D.)?
For RYAN SACKSTEDER (O.D.), use NPI 1265780555 as the unique 10-digit identifier.
Is there an active status for RYAN SACKSTEDER (O.D.)?
For scheduling context, RYAN SACKSTEDER (O.D.) is shown as active in the registry.
What kind of doctor is RYAN SACKSTEDER (O.D.)?
RYAN SACKSTEDER (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for RYAN SACKSTEDER (O.D.)?
Travel planning: use Largo, Florida as the reference point for RYAN SACKSTEDER (O.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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