MELONIE CLEMMONS (O.D.) – Optometrist, NPI 1609099530
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
959 OPTOMETRY in GA
Provider Addresses for MELONIE CLEMMONS (O.D.)
88 HIGHLAND XING
ELLIJAY, GA 305406052
Phone: (706) 635-1194
Fax: (703) 635-1196
Type: Location
60 OLD HIGHWAY 5 S
ELLIJAY, GA 305405436
Phone: (706) 276-2000
Fax: (706) 276-2080
Type: Location
64 WALNUT MOUNTAIN CT
ELLIJAY, GA 305362674
Phone: (706) 635-3132
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $3,854.
Total Amount is formed as General ($3,854) + Research ($0) + Ownership ($0) = $3,854.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Alcon Vision LLC ($3,069).
Total Amount
$3,854
General + Research + Ownership
Payments
25
Total payment records
General Amount
$3,854
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $3,069 |
| ABBVIE INC. | $433 |
| Johnson & Johnson Vision Care, Inc. | $264 |
| Optos, Inc. | $42 |
| Bausch & Lomb Americas 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: 2004-09-01
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 |
|---|---|---|---|---|
| I20040901000098 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 254 | 148 | $0 |
| 92284 | Evaluation of eye adaptation to light and dark with interpretation and report | 128 | 97 | $0 |
| 92014 | Established patient complete exam of visual system | 116 | 116 | $0 |
| 92250 | Photography of the retina | 99 | 74 | $0 |
| 68761 | Closure of tear duct opening using plug | 90 | 30 | $0 |
Insurance plans in this area (ZIP 30540)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | GA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| O P T O M E T R Y | GA |
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