ROGER R GAGNON (O.D.) – Optometrist, NPI 1124128913

ROGER R GAGNON (O.D.) is a healthcare provider. based in South portland, Maine. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT740 (ME). The NPI Number for ROGER R GAGNON (O.D.) is 1124128913

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
ROGER R GAGNON (O.D.)
NPI
1124128913
Phone
(207) 775-2030
Address
510 MAINEMALL RD.
Enumeration Date
22 September 2006
Last Update Date
26 January 2010

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
3779526678
Professional Enrollment ID
I20050602000031
Address ID
ME041063238SO510XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

219 OPTOMETRY in ME

Provider Addresses for ROGER R GAGNON (O.D.)

  • 510 MAINEMALL RD.

    SOUTH PORTLAND, ME 04106

    Phone: (207) 775-2030

    Fax: (207) 775-0755

    Type: Location

  • 510 MAINEMALL ROAD

    SOUTH PORTLAND, ME 04106

    Phone: (207) 775-2030

    Fax: (207) 775-0755

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,109.

Total Amount is formed as General ($1,109) + Research ($0) + Ownership ($0) = $1,109.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($402).

Total Amount

$1,109

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-06-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050602000031IOptometryMETBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens1,35212$0
92014Established patient complete exam of visual system273273$0
99213Established patient office or other outpatient visit, 20-29 minutes9769$0
92004New patient complete exam of visual system4040$0
92134Imaging of retina3835$0
View full utilization report →

Insurance plans in this area (ZIP 04106)

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Reviews

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Frequently asked questions

Is ROGER R GAGNON (O.D.) listed with a National Provider Identifier?
Yes — ROGER R GAGNON (O.D.) has NPI 1124128913 on file in the registry.
Would ROGER R GAGNON (O.D.) appear as active to a payer?
You can treat ROGER R GAGNON (O.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe ROGER R GAGNON (O.D.)'s focus?
For ROGER R GAGNON (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ROGER R GAGNON (O.D.)?
Travel planning: use South Portland, Maine as the reference point for ROGER R GAGNON (O.D.), then confirm.
When was this NPI issued?
Enumeration for ROGER R GAGNON (O.D.) is noted as September 22, 2006 where the registry provides it.

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