DR. LYNNETTE RAYE BLOSTICA (O.D.) – Optometrist, NPI 1053524884
Optometrist
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,204 OPTOMETRY in MI
Provider Addresses for DR. LYNNETTE RAYE BLOSTICA (O.D.)
3412 W CENTRE AVE
PORTAGE, MI 490244624
Phone: (269) 329-5860
Fax: (269) 329-5865
Type: Mailing
North Main Street, Meadowbrook Green, Three Rivers, Palmer, Hampden County, Massachusetts, 01069, United States
THREE RIVERS, MI 490939615
Phone: (269) 273-2020
Type: Location
7072, Leland Court, Texas Corners, Texas Charter Township, Kalamazoo County, Michigan, 49009, United States
KALAMAZOO, MI 490095908
Phone:
Type: Mailing
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 $87.
Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($25).
Total Amount
$87
General + Research + Ownership
Payments
4
Total payment records
General Amount
$87
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-12-17
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 |
|---|---|---|---|---|
| I20071217000091 | I | Optometry | MI | 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 | 332 | 329 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 68 | $0 |
| 92004 | New patient complete exam of visual system | 73 | 73 | $0 |
| 92133 | Imaging of optic nerve | 60 | 60 | $0 |
| 92083 | Exam of visual field with extended testing | 42 | 42 | $0 |
Insurance plans in this area (ZIP 49024)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P T O M E T R Y | MI | |
| O P H T H A L M O L O G Y | MI |
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