DR. BRANT TREGELLAS MOLENAAR (OD) – Optometrist, NPI 1942307053
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,126 OPTOMETRY in IN
Provider Addresses for DR. BRANT TREGELLAS MOLENAAR (OD)
609 N Halleck St
Demotte, IN 463109545
Phone: (219) 987-3673
Type: Location
3546, Ridge Road, Lansing, Thornton Township, Cook County, Illinois, 60438, United States
LANSING, IL 60438
Phone: (708) 474-0078
Fax: (708) 474-0141
Type: Mailing
3546 RIDGE RD
LANSING, IL 604383146
Phone: (708) 474-0078
Fax: (708) 474-0141
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $103.
Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.
Last reported payment date: 2023-06-22 • Largest payer in this snapshot: ABBVIE INC. ($103).
Total Amount
$103
General + Research + Ownership
Payments
1
Total payment records
General Amount
$103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $103 |
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: 2015-02-11
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 |
|---|---|---|---|---|
| I20101026000654 | I | Optometry | IL | TBD |
| I20150211000187 | 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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 1,765 | 17 | $0 |
| 92014 | Established patient complete exam of visual system | 376 | 374 | $0 |
| 92004 | New patient complete exam of visual system | 68 | 68 | $0 |
| 92083 | Exam of visual field with extended testing | 68 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 20 | $0 |
Insurance plans in this area (ZIP 46310)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL |
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