DR. KIMBERLY SUE ANDERSON (O.D.) – Optometrist, NPI 1144474941
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
959 OPTOMETRY in GA
Provider Addresses for DR. KIMBERLY SUE ANDERSON (O.D.)
361 HIGHWAY 74 N
PEACHTREE CITY, GA 302691102
Phone: (770) 487-0667
Type: Location
City Cir, Westpark, Peachtree City, Fayette, Georgia, 30269, United States
STE 1600
PEACHTREE CITY, GA 302693125
Phone: (770) 487-8064
Type: Location
101 RIVERBIRCH WAY
SHARPSBURG, GA 302775219
Phone: (770) 330-0925
Type: Mailing
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 $290.
Total Amount is formed as General ($290) + Research ($0) + Ownership ($0) = $290.
Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Sight Sciences, Inc. ($147).
Total Amount
$290
General + Research + Ownership
Payments
3
Total payment records
General Amount
$290
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sight Sciences, Inc. | $147 |
| Johnson & Johnson Vision Care, Inc. | $142 |
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: 2014-09-29
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 |
|---|---|---|---|---|
| I20140929001969 | 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 | 37 | 36 | $0 |
| 92250 | Photography of the retina | 30 | 28 | $0 |
| 92004 | New patient complete exam of visual system | 13 | 13 | $0 |
| 92083 | Exam of visual field with extended testing | 12 | 11 | $0 |
Insurance plans in this area (ZIP 30269)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | GA |
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