DR. LEE EDWARD III GUERTIN (O.D.) – Optometrist, NPI 1326042995
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,116 OPTOMETRY in MA
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Provider Addresses for DR. LEE EDWARD III GUERTIN (O.D.)
86, Purgatory Road, Sutton, Worcester County, Massachusetts, 01590, United States
SUTTON, MA 015902803
Phone: (508) 865-0696
Type: Mailing
598, County Street, Pottersville, Somerset, Bristol County, Massachusetts, 02726, United States
SOMERSET, MA 027264204
Phone: (508) 676-8167
Fax: (508) 676-1434
Type: Location
255 COUNTY ST
SOMERSET, MA 027264240
Phone: (508) 676-8167
Fax: (508) 676-1434
Type: Location
1250 S Washington St
North Attleboro, MA 027606227
Phone: (508) 717-0425
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $473.
Total Amount is formed as General ($473) + Research ($0) + Ownership ($0) = $473.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($359).
Total Amount
$473
General + Research + Ownership
Payments
10
Total payment records
General Amount
$473
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $359 |
| Glaukos Corporation | $114 |
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: 2005-06-21
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 |
|---|---|---|---|---|
| I20050621000845 | I | Optometry | MA | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 182 | 181 | $0 |
| 92012 | Established patient problem focused exam of visual system | 82 | 72 | $0 |
| 92004 | New patient complete exam of visual system | 26 | 26 | $0 |
| 92250 | Photography of the retina | 19 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 12 | $0 |
Insurance plans in this area (ZIP 01590)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | MA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 325 | 257 |
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