TABYTHA BOYAK (OD) – Optometrist, NPI 1699392159
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,204 OPTOMETRY in MI
Provider Addresses for TABYTHA BOYAK (OD)
9 SCENIC HILLS DR
MARQUETTE, MI 498559186
Phone: (906) 458-8528
Type: Mailing
131 W WASHINGTON ST
MARQUETTE, MI 498554378
Phone: (906) 226-2020
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 $322.
Total Amount is formed as General ($322) + Research ($0) + Ownership ($0) = $322.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: CooperVision Inc. ($166).
Total Amount
$322
General + Research + Ownership
Payments
10
Total payment records
General Amount
$322
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
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: 2020-07-21
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 |
|---|---|---|---|---|
| I20200721003726 | 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 | 69 | 69 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 24 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 21 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 21 | 16 | $0 |
| 92083 | Exam of visual field with extended testing | 14 | 13 | $0 |
Insurance plans in this area (ZIP 49855)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MI | |
| - | MI |
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