DR. FRANK M. III DECLEENE (O.D.) – Optometrist, NPI 1255323226
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,126 OPTOMETRY in IN
Provider Addresses for DR. FRANK M. III DECLEENE (O.D.)
608 E BOULEVARD
KOKOMO, IN 469022286
Phone: (765) 453-5005
Fax: (765) 453-8937
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 19 Open Payments records for all available years, with a total value of $1,608.
Total Amount is formed as General ($1,608) + Research ($0) + Ownership ($0) = $1,608.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($1,398).
Total Amount
$1,608
General + Research + Ownership
Payments
19
Total payment records
General Amount
$1,608
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $1,398 |
| Apellis Pharmaceuticals, Inc. | $120 |
| Alcon Vision LLC | $90 |
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: 2011-10-05
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 |
|---|---|---|---|---|
| I20111005000422 | I | Optometry | IN | 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 |
|---|---|---|---|---|
| 92250 | Photography of the retina | 174 | 169 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 80 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 96 | 94 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 50 | 31 | $0 |
| 92133 | Imaging of optic nerve | 33 | 31 | $0 |
Insurance plans in this area (ZIP 46902)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | IN | 92083 | Measurement of field of vision during daylight conditions | 43 | 40 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WV | |
| O P T O M E T R Y | IN |
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