MARY T CHAMPION (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1760779722
Retina Specialist (Ophthalmology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
158 OPHTHALMOLOGY in KS
Provider Addresses for MARY T CHAMPION (MD)
7400 STATE LINE RD STE 100
PRAIRIE VILLAGE, KS 662083447
Phone: (913) 588-6600
Fax: (913) 588-6655
Type: Location
3101 Broadway Blvd
Kansas City, MO 641112659
Phone: (816) 302-3700
Fax: (816) 302-9939
Type: Location
1750 E Glendale Ave
Phoenix, AZ 850205505
Phone: (602) 242-4928
Fax: (602) 249-4813
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $1,214.
Total Amount is formed as General ($1,214) + Research ($0) + Ownership ($0) = $1,214.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Genentech USA, Inc. ($303).
Total Amount
$1,214
General + Research + Ownership
Payments
26
Total payment records
General Amount
$1,214
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $303 |
| Alimera Sciences, Inc. | $267 |
| Carl Zeiss Meditec USA, Inc. | $151 |
| Alcon Vision LLC | $134 |
| Sun Pharmaceutical Industries Inc. | $120 |
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: 2024-03-26
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 |
|---|---|---|---|---|
| I20170830002639 | I | Ophthalmology | KS | TBD |
| I20240326002835 | I | Pediatric Medicine | MO | 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 |
|---|---|---|---|---|
| 92134 | Imaging of retina | 689 | 282 | $0 |
| 67028 | Injection of drug into eye | 390 | 102 | $0 |
| 92014 | Established patient complete exam of visual system | 263 | 187 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 53 | 48 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 34 | $0 |
Insurance plans in this area (ZIP 66208)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | AZ | 92134 | Diagnostic imaging of retina | 96 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| - | MO | |
| - | KS | |
| - | KS | |
| - | MO | |
| Qualified Audiologist | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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