DR. JUSTIN DANIEL NEEDHAM (M.D.) – Ophthalmology Physician, NPI 1699923516
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
570 OPHTHALMOLOGY in GA
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Provider Addresses for DR. JUSTIN DANIEL NEEDHAM (M.D.)
Mall of Georgia Boulevard, Buford, Gwinnett County, Georgia, 30519, United States
BUFORD, GA 30519
Phone: (678) 381-2020
Fax: (678) 381-2015
Type: Location
1201, Peachtree Industrial Boulevard, Suwanee, Gwinnett County, Georgia, 30024, United States
SUWANEE, GA 300244550
Phone: (678) 381-2020
Fax: (678) 381-2015
Type: Mailing
1915 S 17TH ST STE 101
WILMINGTON, NC 284016682
Phone: (910) 769-4590
Fax: (910) 769-4653
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $1,424.
Total Amount is formed as General ($1,424) + Research ($0) + Ownership ($0) = $1,424.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Alcon Vision LLC ($377).
Total Amount
$1,424
General + Research + Ownership
Payments
34
Total payment records
General Amount
$1,424
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $377 |
| BIOTISSUE HOLDINGS INC. | $232 |
| Bausch & Lomb Americas Inc. | $227 |
| Carl Zeiss Meditec USA, Inc. | $131 |
| Oyster Point Pharma, Inc. | $121 |
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: 2024-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180813002925 | I | Ophthalmology | GA | TBD |
| I20240729003609 | I | Ophthalmology | NC | 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 |
|---|---|---|---|---|
| 92136 | Measurement of corneal curvature and depth of eye | 265 | 168 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 213 | 118 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 155 | 155 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 150 | 138 | $0 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 83 | 57 | $0 |
Insurance plans in this area (ZIP 30519)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | NC |
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