DR. THOMAS J BALDA (OD) – Optometrist, NPI 1396820858
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
Provider Addresses for DR. THOMAS J BALDA (OD)
138 S Main St
Gravois Mills, MO 650376196
Phone: (573) 374-5222
Type: Location
8614 WESTWOOD CENTER DR FL 9
VIENNA, VA 221822442
Phone: (703) 847-8899
Fax: (571) 223-6780
Type: Mailing
950, West Main Street, Lake Zurich, Ela Township, Lake County, Illinois, 60047, United States
SUITE 125
LAKE ZURICH, IL 60047
Phone: (847) 726-2020
Fax: (847) 726-2036
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $526.
Total Amount is formed as General ($526) + Research ($0) + Ownership ($0) = $526.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: CooperVision Inc. ($197).
Total Amount
$526
General + Research + Ownership
Payments
18
Total payment records
General Amount
$526
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $197 |
| Alcon Vision LLC | $189 |
| Novartis Pharmaceuticals Corporation | $68 |
| Bausch & Lomb Americas Inc. | $41 |
| Sight Sciences, Inc. | $33 |
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: 2025-10-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051116000120 | I | Optometry | IL | TBD |
| I20251023001144 | 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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 1,679 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 127 | 101 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 78 | 78 | $0 |
| 92134 | Imaging of retina | 60 | 54 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 45 | 38 | $0 |
Insurance plans in this area (ZIP 65037)
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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 | |
| - | IL | |
| 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 | IL | |
| 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 |
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