ANDRE BARON (O.D.) – Optometrist, NPI 1194815811
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
959 OPTOMETRY in GA
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Provider Addresses for ANDRE BARON (O.D.)
Walmart Supercenter, 88, Highland Crossing, East Ellijay, Gilmer County, Georgia, 30540, United States
EAST ELLIJAY, GA 305406052
Phone: (706) 635-1194
Fax: (706) 635-1196
Type: Mailing
178 BRACKETTS WAY STE 9
BLAIRSVILLE, GA 305122984
Phone: (706) 745-2020
Fax: (706) 745-0202
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 $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-08-23 • Largest payer in this snapshot: Dompe US, Inc. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dompe US, Inc. | $17 |
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: 2011-10-18
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 |
|---|---|---|---|---|
| I20111018000601 | 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 | 163 | 162 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 133 | 93 | $0 |
| 92004 | New patient complete exam of visual system | 122 | 122 | $0 |
| 92284 | Evaluation of eye adaptation to light and dark with interpretation and report | 34 | 33 | $0 |
| 92083 | Exam of visual field with extended testing | 21 | 15 | $0 |
Insurance plans in this area (ZIP 30540)
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Provider's Procedures
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