DR. GARY WALTER UPCHURCH (OD) – Optometrist, NPI 1265433478
Optometrist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
700 OPTOMETRY in KY
Provider Addresses for DR. GARY WALTER UPCHURCH (OD)
546 Steve Dr
Russell Springs, KY 426424601
Phone: (270) 866-3177
Fax: (270) 866-3155
Type: Location
306, Vairo Boulevard, State College, Centre County, Pennsylvania, 16803, United States
FERGUSON, KY 425330306
Phone: (606) 492-2211
Fax: (606) 676-0873
Type: Mailing
Foothills Avenue, Albany, Clinton County, Kentucky, 42602, United States
ALBANY, KY 426021037
Phone: (606) 387-5612
Fax: (606) 387-6602
Type: Location
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 $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2023-05-15 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS, 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: 2021-12-03
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 |
|---|---|---|---|---|
| I20100616000163 | I | Optometry | KY | TBD |
| I20211203001349 | I | Optometry | TN | 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 | 2,763 | 22 | $0 |
| 92012 | Established patient problem focused exam of visual system | 330 | 173 | $0 |
| 92014 | Established patient complete exam of visual system | 233 | 231 | $0 |
| 92083 | Exam of visual field with extended testing | 194 | 150 | $0 |
| 92134 | Imaging of retina | 124 | 89 | $0 |
Insurance plans in this area (ZIP 42642)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | KY | |
| - | KY | |
| O P T O M E T R Y | KY | |
| - | KY | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | KY |
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