DR. MARC JAY GANNON (O.D.) – Low Vision Rehabilitation Optometrist, NPI 1841286424
Low Vision Rehabilitation Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,055 OPTOMETRY in FL
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Provider Addresses for DR. MARC JAY GANNON (O.D.)
2021, East Commercial Boulevard, Coral Hills, Fort Lauderdale, Broward County, Florida, 33308, United States
SUITE #301
FT LAUDERDALE, FL 333083763
Phone: (954) 776-5223
Fax: (954) 491-0027
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)
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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: 2004-08-03
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 |
|---|---|---|---|---|
| I20040803000103 | I | Optometry | 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 |
|---|---|---|---|---|
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 248 | 239 | $0 |
| 92081 | Exam of visual field with limited testing | 243 | 234 | $0 |
| 92283 | Extended exam involving color vision testing | 207 | 199 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 162 | 150 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 150 | 150 | $0 |
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