TOM OBERTYNSKI (M.D.) – Ophthalmology Physician, NPI 1710109939
Ophthalmology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
844 OPHTHALMOLOGY in MI
Provider Addresses for TOM OBERTYNSKI (M.D.)
404 E 10 MILE RD STE 100
PLEASANT RIDGE, MI 480691201
Phone: (248) 220-5252
Fax: (248) 220-5261
Type: Location
25350, Kelly Road, Roseville, Macomb County, Michigan, 48066, United States
ROSEVILLE, MI 480665824
Phone: (586) 218-5457
Fax: (586) 772-1137
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $1,003.
Total Amount is formed as General ($1,003) + Research ($0) + Ownership ($0) = $1,003.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Alcon Vision LLC ($402).
Total Amount
$1,003
General + Research + Ownership
Payments
30
Total payment records
General Amount
$1,003
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $402 |
| Sight Sciences, Inc. | $380 |
| ABBVIE INC. | $71 |
| Bausch & Lomb Americas Inc. | $50 |
| Thea Pharma Inc. | $48 |
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: 2007-07-13
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 |
|---|---|---|---|---|
| I20070713000407 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,100 | 599 | $0 |
| 92133 | Imaging of optic nerve | 597 | 419 | $0 |
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 550 | 385 | $0 |
| 92250 | Photography of the retina | 480 | 479 | $0 |
| 92083 | Exam of visual field with extended testing | 418 | 397 | $0 |
Insurance plans in this area (ZIP 48069)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | NY | |
| - | MI |
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