HANNAH ELLIS – Optometrist, NPI 1063179091
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
700 OPTOMETRY in KY
Provider Addresses for HANNAH ELLIS
109 W 5th St
Benton, KY 420251123
Phone: (270) 527-7421
Fax: (270) 527-3118
Type: Location
PO BOX 207170
DALLAS, TX 753207170
Phone: (636) 200-4393
Fax: (636) 527-0766
Type: Mailing
60 LAKEVIEW DR
PADUCAH, KY 420015633
Phone: (270) 554-2000
Fax: (270) 554-2989
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $569.
Total Amount is formed as General ($569) + Research ($0) + Ownership ($0) = $569.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Alcon Vision LLC ($292).
Total Amount
$569
General + Research + Ownership
Payments
15
Total payment records
General Amount
$569
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $292 |
| Oyster Point Pharma, Inc. | $199 |
| Bausch & Lomb Americas Inc. | $55 |
| CooperVision Inc. | $24 |
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: 2022-02-23
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 |
|---|---|---|---|---|
| I20220223002747 | I | Optometry | KY | 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 | 3,293 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 190 | 149 | $0 |
| 92250 | Photography of the retina | 144 | 130 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 40 | 40 | $0 |
| 92083 | Exam of visual field with extended testing | 30 | 27 | $0 |
Insurance plans in this area (ZIP 42025)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| - | OH | |
| O P T O M E T R Y | OK | |
| O P T O M E T R Y | OH | |
| - | OH | |
| - | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| - | TX |
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