DR. TATYANA IGOREVNA METELITSINA (M.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1033365663

DR. TATYANA IGOREVNA METELITSINA (M.D.) is a healthcare provider. based in Cape girardeau, Missouri. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 036-130196 (IL). The NPI Number for DR. TATYANA IGOREVNA METELITSINA (M.D.) is 1033365663

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. TATYANA IGOREVNA METELITSINA (M.D.)
NPI
1033365663
Phone
(573) 335-3577
Address
360 S MOUNT AUBURN RD
Enumeration Date
14 August 2008
Last Update Date
11 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733353577
Graduation Year
1998 (28 years ago)
PAC ID
7315102175
Group Practice PAC ID
0143117028
Professional Enrollment ID
I20141219000419
Address ID
MO637034920CA360XXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:17State licenses:3Digital endpointsOther names

444 OPHTHALMOLOGY in MO

Provider Addresses for DR. TATYANA IGOREVNA METELITSINA (M.D.)

  • 360 S MOUNT AUBURN RD

    CAPE GIRARDEAU, MO 637034920

    Phone: (573) 335-3577

    Fax: (573) 335-1559

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $649.

Total Amount is formed as General ($649) + Research ($0) + Ownership ($0) = $649.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Astellas Pharma US Inc ($349).

Total Amount

$649

General + Research + Ownership

Payments

25

Total payment records

General Amount

$649

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120628000133IOphthalmologyILTBD
I20141219000419IOphthalmologyMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2777Injection, faricimab-svoa, 0.1 mg12,30043$0
92134Imaging of retina1,520534$0
92012Established patient problem focused exam of visual system1,195386$0
67028Injection of drug into eye749160$0
J0178Injection, aflibercept, 1 mg72285$0
View full utilization report →

Insurance plans in this area (ZIP 63703)

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Provider's Procedures

DR. TATYANA IGOREVNA METELITSINA (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMO92012Eye and medical examination for diagnosis and treatment, established patient1610578
OPHTHALMOLOGYMO92083Measurement of field of vision during daylight conditions3731
OPHTHALMOLOGYMO92134Diagnostic imaging of retina1791643

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143117028View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMO
-WI
-MO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
-MO

Reviews

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Frequently asked questions

What number should I use to identify DR. TATYANA IGOREVNA METELITSINA (M.D.) for billing?
Administrative and clinical systems typically use NPI 1033365663 for DR. TATYANA IGOREVNA METELITSINA (M.D.).
Should I treat DR. TATYANA IGOREVNA METELITSINA (M.D.) as an active provider?
Patients and plans typically see DR. TATYANA IGOREVNA METELITSINA (M.D.) as active in the national extract.
How should patients interpret DR. TATYANA IGOREVNA METELITSINA (M.D.)'s specialty?
The extract shows Retina Specialist (Ophthalmology) Physician for DR. TATYANA IGOREVNA METELITSINA (M.D.). Clinical services aligned with this taxonomy classification.
Is DR. TATYANA IGOREVNA METELITSINA (M.D.) tied to Cape Girardeau, Missouri?
If you are local to Cape Girardeau, Missouri, DR. TATYANA IGOREVNA METELITSINA (M.D.) may be relevant to your search.
Who maintains DR. TATYANA IGOREVNA METELITSINA (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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