DR. JOEL P. YAGODA (O.D.) – Optometrist, NPI 1205974946

DR. JOEL P. YAGODA (O.D.) is a healthcare provider. based in Cartersville, Georgia. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 1000T (GA). The NPI Number for DR. JOEL P. YAGODA (O.D.) is 1205974946

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOEL P. YAGODA (O.D.)
NPI
1205974946
Phone
(770) 386-9022
Address
101 MARKET PLACE BLVD
Enumeration Date
2 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7066329516
Graduation Year
1981 (45 years ago)
PAC ID
8123247996
Group Practice PAC ID
6901871508
Professional Enrollment ID
I20140910001762
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOEL P. YAGODA (O.D.)

  • Walmart Supercenter, 101, Marketplace Boulevard, Roving Hills Estates, Cartersville, Bartow County, Georgia, 30121, United States

    CARTERSVILLE, GA 301212236

    Phone: (770) 386-9022

    Type: Location

  • Orchard Boulevard, One Tree Hill, River Valley, Central Region, Singapore, 248649, Singapore

    WOODSTOCK, GA 301880226

    Phone: (678) 643-8945

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-09-10

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
I20140910001762IOptometryGATBD

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
92012Established patient problem focused exam of visual system2121$0
92002New patient problem focused exam of visual system1818$0
View full utilization report →

Insurance plans in this area (ZIP 30121)

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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: 6901871508View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

What is the registry number for DR. JOEL P. YAGODA (O.D.)?
The registry entry for DR. JOEL P. YAGODA (O.D.) shows NPI 1205974946.
Quick check: is DR. JOEL P. YAGODA (O.D.) active?
Public NPPES data shows DR. JOEL P. YAGODA (O.D.) with an active NPI status right now.
How should patients interpret DR. JOEL P. YAGODA (O.D.)'s specialty?
The extract shows Optometrist for DR. JOEL P. YAGODA (O.D.). Clinical services aligned with this taxonomy classification.
Is DR. JOEL P. YAGODA (O.D.) tied to Cartersville, Georgia?
If you are local to Cartersville, Georgia, DR. JOEL P. YAGODA (O.D.) may be relevant to your search.
Can I export DR. JOEL P. YAGODA (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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