MR. JEFFREY RALPH MELLOM (OD) – Optometrist, NPI 1588792816
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
959 OPTOMETRY in GA
Provider Addresses for MR. JEFFREY RALPH MELLOM (OD)
5995 BARFIELD RD
SANDY SPRINGS, GA 303284411
Phone: (404) 256-1507
Fax: (404) 256-1981
Type: Mailing
5901A PEACHTREE DUNWOODY RD
STE 500
ATLANTA, GA 30328
Phone: (678) 781-7373
Fax: (678) 538-1972
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $797.
Total Amount is formed as General ($797) + Research ($0) + Ownership ($0) = $797.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alcon Vision LLC ($287).
Total Amount
$797
General + Research + Ownership
Payments
22
Total payment records
General Amount
$797
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $287 |
| Johnson & Johnson Vision Care, Inc. | $153 |
| Horizon Therapeutics plc | $102 |
| ABBVIE INC. | $80 |
| Tarsus Pharmaceuticals, Inc. | $56 |
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: 2009-05-11
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 |
|---|---|---|---|---|
| I20090511000331 | 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 | 32 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 30328)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA | |
| O P H T H A L M O L O G Y | FL | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA | |
| O P H T H A L M O L O G Y | GA |
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