AMANDA WIEDERODER (OD) – Optometrist, NPI 1720547961
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for AMANDA WIEDERODER (OD)
39, Green Street, Newburyport, Essex County, Massachusetts, 01950, United States
NEWBURYPORT, MA 019502652
Phone: (989) 513-7699
Type: Mailing
65 CHISWICK RD APT 3
BRIGHTON, MA 021357134
Phone: (989) 513-7699
Type: Mailing
230 CONGRESS ST
BOSTON, MA 021102409
Phone: (617) 338-7200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $494.
Total Amount is formed as General ($494) + Research ($0) + Ownership ($0) = $494.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($250).
Total Amount
$494
General + Research + Ownership
Payments
11
Total payment records
General Amount
$494
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $250 |
| CooperVision Inc. | $135 |
| RxSight Inc | $83 |
| Johnson & Johnson Vision Care, Inc. | $27 |
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: 2019-08-27
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20190827000142 | 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 | 34 | 34 | $0 |
| 92250 | Photography of the retina | 16 | 16 | $0 |
| 92004 | New patient complete exam of visual system | 11 | 11 | $0 |
Insurance plans in this area (ZIP 01950)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MA | |
| O P T O M E T R Y | MA | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | MA | |
| O P T O M E T R Y | MA | |
| O P T O M E T R Y | MA | |
| O P T O M E T R Y | MA | |
| O P T O M E T R Y | MA | |
| O P T O M E T R Y | MA |
Reviews
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