DR. ASHLEY AYN FORTNEY (O.D.) – Optometrist, NPI 1003042888
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
959 OPTOMETRY in GA
Provider Addresses for DR. ASHLEY AYN FORTNEY (O.D.)
3886 GA HIGHWAY 17 RD
EASTANOLLEE, GA 305383808
Phone: (706) 297-7292
Type: Location
Dacula Post Office, Dacula Road, Dacula, Gwinnett County, Georgia, 30019, United States
DACULA, GA 300190030
Phone: (901) 409-2901
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $131.
Total Amount is formed as General ($131) + Research ($0) + Ownership ($0) = $131.
Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Glaukos Corporation ($131).
Total Amount
$131
General + Research + Ownership
Payments
1
Total payment records
General Amount
$131
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Glaukos Corporation | $131 |
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: 2009-10-08
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 |
|---|---|---|---|---|
| I20091008000054 | I | Optometry | GA | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 72 | 72 | $0 |
| 92004 | New patient complete exam of visual system | 52 | 52 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 27 | 24 | $0 |
| 92012 | Established patient problem focused exam of visual system | 24 | 23 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 30538)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | GA | 92083 | Measurement of field of vision during daylight conditions | 12 | 11 |
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