DR. LISA WOOTEN MARTIN (O.D.) – Optometrist, NPI 1457583239
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 DR. LISA WOOTEN MARTIN (O.D.)
603, South Wheat Avenue, Shotwell Street Retail1, Bainbridge, Decatur County, Georgia, 39819, United States
SUITE 650
BAINBRIDGE, GA 398194360
Phone: (229) 243-8597
Fax: (229) 243-1506
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)
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: 2010-12-02
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 |
|---|---|---|---|---|
| I20101202000323 | 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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 6,232 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 364 | 290 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 127 | 122 | $0 |
| 92134 | Imaging of retina | 58 | 54 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 57 | 57 | $0 |
Insurance plans in this area (ZIP 39819)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | GA | |
| O P T O M E T R Y | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| General Surgery | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Family Practice | FL | |
| Family Practice | FL | |
| - | GA |
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