MR. CONNOR HAYS GALLENTINE (O.D.) – Optometrist, NPI 1770078305
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 OPTOMETRY in KS
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Provider Addresses for MR. CONNOR HAYS GALLENTINE (O.D.)
22414, West 66th Street, Monticello Farms, Shawnee, Johnson County, Kansas, 66226, United States
SHAWNEE, KS 662263501
Phone: (913) 441-3937
Fax: (913) 441-3938
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 42 Open Payments records for all available years, with a total value of $1,106.
Total Amount is formed as General ($1,106) + Research ($0) + Ownership ($0) = $1,106.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alcon Vision LLC ($296).
Total Amount
$1,106
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,106
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
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: 2018-07-10
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 |
|---|---|---|---|---|
| I20180710003200 | I | Optometry | KS | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 58 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 16 | $0 |
| 92134 | Imaging of retina | 12 | 12 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 66226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | KS | |
| O P T O M E T R Y | KS | |
| O P T O M E T R Y | KS |
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