ALYSSA K. ANDERSON (O.D.) – Optometrist, NPI 1942786249
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,715 OPTOMETRY in IL
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Provider Addresses for ALYSSA K. ANDERSON (O.D.)
4600, 30th Street, Rock Island, Rock Island County, Illinois, 61201, United States
ROCK ISLAND, IL 612017038
Phone: (309) 788-5524
Fax: (309) 788-9550
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)
CMS reports 27 Open Payments records for all available years, with a total value of $670.
Total Amount is formed as General ($670) + Research ($0) + Ownership ($0) = $670.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Glaukos Corporation ($148).
Total Amount
$670
General + Research + Ownership
Payments
27
Total payment records
General Amount
$670
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-10-15
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 |
|---|---|---|---|---|
| I20180914002600 | I | Optometry | IL | TBD |
| I20181015002122 | I | Optometry | IA | 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 | 288 | 286 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 124 | 99 | $0 |
| 83516 | Analysis of substance using immunoassay technique, multiple step method | 112 | 44 | $0 |
| 92133 | Imaging of optic nerve | 79 | 74 | $0 |
| 92134 | Imaging of retina | 79 | 78 | $0 |
Insurance plans in this area (ZIP 61201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL |
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