JACKIE K NGUYEN (MD) – Ophthalmology Physician, NPI 1326094533
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
71 OPHTHALMOLOGY in ME
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Provider Addresses for JACKIE K NGUYEN (MD)
53, Sewall Street, Thompsons Point, Portland, Cumberland County, Maine, 04102, United States
PORTLAND, ME 04102
Phone: (207) 828-2020
Fax: (207) 773-7034
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 4 Open Payments records for all available years, with a total value of $185.
Total Amount is formed as General ($185) + Research ($0) + Ownership ($0) = $185.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($105).
Total Amount
$185
General + Research + Ownership
Payments
4
Total payment records
General Amount
$185
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mallinckrodt Hospital Products Inc. | $105 |
| Genentech USA, Inc. | $45 |
| Astellas Pharma US Inc | $35 |
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: 2008-10-16
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 |
|---|---|---|---|---|
| I20081016000101 | I | Ophthalmology | ME | 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 |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 23,041 | 81 | $0 |
| 92134 | Imaging of retina | 1,713 | 557 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 1,138 | 145 | $0 |
| 67028 | Injection of drug into eye | 922 | 249 | $0 |
| J2778 | Injection, ranibizumab, 0.1 mg | 687 | 51 | $0 |
Insurance plans in this area (ZIP 04102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| O P H T H A L M O L O G Y | ME | |
| O P T O M E T R Y | ME | |
| - | ME | |
| - | ME | |
| O P H T H A L M O L O G Y | ME | |
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | ME | |
| O P H T H A L M O L O G Y | ME | |
| O P H T H A L M O L O G Y | ME |
Reviews
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