BRADFORD L TANNEN (MD) – Ophthalmology Physician, NPI 1912108432
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
844 OPHTHALMOLOGY in MI
Provider Addresses for BRADFORD L TANNEN (MD)
110 CONN TER STE 550
LEXINGTON, KY 405083206
Phone:
Type: Mailing
1000 Wall Street
Ann Arbor, MI 481051912
Phone: (734) 764-4190
Type: Location
South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States
700 KMS PLACE
ANN ARBOR, MI 48108
Phone: (734) 936-2047
Type: Mailing
Brehm Tower, 1000, Wall Street, Ann Arbor, Washtenaw County, Michigan, 48105, United States
ANN ARBOR, MI 481051912
Phone: (734) 764-4190
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $346.
Total Amount is formed as General ($346) + Research ($0) + Ownership ($0) = $346.
Last reported payment date: 2023-04-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($140).
Total Amount
$346
General + Research + Ownership
Payments
3
Total payment records
General Amount
$346
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $140 |
| Alcon Vision LLC | $107 |
| Mallinckrodt Hospital Products Inc. | $100 |
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: 2025-07-09
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 |
|---|---|---|---|---|
| I20171101000476 | I | Ophthalmology | MI | TBD |
| I20250709002693 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 266 | 233 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 207 | 126 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 93 | 65 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 58 | 58 | $0 |
| 92134 | Imaging of retina | 44 | 37 | $0 |
Insurance plans in this area (ZIP 40508)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | MI | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 357 | 219 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | KY | |
| A N E S T H E S I O L O G Y | FL | |
| Pediatric Medicine | KY | |
| Internal Medicine | KY | |
| H O S P I T A L I S T | OH | |
| Critical Care (Intensivists), Pulmonary Disease | KY | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| Internal Medicine | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| Pediatric Medicine, Internal Medicine | KY |
Reviews
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