PAIGE BLANKENHEIM (OD) – Optometrist, NPI 1386361319
Optometrist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
Provider Addresses for PAIGE BLANKENHEIM (OD)
10738 Business 21
Hillsboro, MO 630505075
Phone: (636) 586-7770
Type: Location
402 W Washington St
Cuba, MO 654531217
Phone: (573) 885-2323
Type: Location
853 Medical Dr Ste 113
Wentzville, MO 633853825
Phone: (636) 327-8433
Type: Location
2121 Zumbehl Rd
Saint Charles, MO 633032724
Phone: (636) 949-2906
Fax: (636) 949-2914
Type: Location
1729 Clarkson Rd
Chesterfield, MO 630174977
Phone: (636) 733-0090
Fax: (636) 733-0028
Type: Location
17249 Chesterfield Airport Rd
Chesterfield, MO 630051423
Phone: (636) 787-7000
Fax: (636) 787-0100
Type: Location
1894 Wentzville Pkwy
Wentzville, MO 633853820
Phone: (636) 887-4000
Fax: (636) 887-4095
Type: Location
933 Highway K
O Fallon, MO 633662910
Phone: (636) 379-4288
Fax: (636) 272-2765
Type: Location
6157 Mid Rivers Mall Dr
Saint Peters, MO 633041105
Phone: (636) 926-3647
Fax: (636) 926-3684
Type: Location
83 The Plz
Troy, MO 633791365
Phone: (636) 462-3958
Fax: (636) 462-3957
Type: Location
6313 Ronald Reagan Dr
Lake St Louis, MO 633672681
Phone: (636) 561-2342
Fax: (636) 561-2362
Type: Location
514 Warren County Ctr
Warrenton, MO 633833023
Phone: (636) 377-2054
Fax: (636) 377-2056
Type: Location
PO BOX 207158
DALLAS, TX 753207158
Phone: (636) 200-4393
Fax: (636) 527-0766
Type: Mailing
3013 WINGHAVEN BLVD
O FALLON, MO 633683600
Phone: (636) 561-3937
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $362.
Total Amount is formed as General ($362) + Research ($0) + Ownership ($0) = $362.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: CooperVision Inc. ($156).
Total Amount
$362
General + Research + Ownership
Payments
6
Total payment records
General Amount
$362
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
| Company | Amount |
|---|---|
| CooperVision Inc. | $156 |
| Johnson & Johnson Surgical Vision, Inc. | $131 |
| ABBVIE INC. | $76 |
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: 2022-11-10
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 |
|---|---|---|---|---|
| I20221110001179 | I | Optometry | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 22 | $0 |
| 92014 | Established patient complete exam of visual system | 22 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 63050)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| - | MO | |
| O P T O M E T R Y | MO | |
| - | MO | |
| - | CA | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO |
Reviews
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