DR. MARY TALLY WATSON (OD) – Optometrist, NPI 1467445965
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
619 OPTOMETRY in AL
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Provider Addresses for DR. MARY TALLY WATSON (OD)
Clayton Road, Ballwin, Saint Louis County, Missouri, 63011, United States
SUITE 201
BALLWIN, MO 630112172
Phone: (636) 200-4393
Fax: (636) 527-0766
Type: Mailing
Old Madison Pike, Clift Acres, Madison, Madison County, Alabama, 35758, United States
MADISON, AL 357581435
Phone: (256) 772-8711
Fax: (256) 772-8738
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $1,269.
Total Amount is formed as General ($1,269) + Research ($0) + Ownership ($0) = $1,269.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Alcon Vision LLC ($411).
Total Amount
$1,269
General + Research + Ownership
Payments
28
Total payment records
General Amount
$1,269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $411 |
| ABBVIE INC. | $376 |
| CooperVision Inc. | $241 |
| Sun Pharmaceutical Industries Inc. | $69 |
| Tarsus Pharmaceuticals, Inc. | $45 |
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: 2004-08-23
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 |
|---|---|---|---|---|
| I20040823000852 | I | Optometry | AL | 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 | 1,774 | 14 | $0 |
| 68761 | Closure of tear duct opening using plug | 1,399 | 204 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 441 | 249 | $0 |
| 92250 | Photography of the retina | 261 | 238 | $0 |
| 92133 | Imaging of optic nerve | 47 | 43 | $0 |
Insurance plans in this area (ZIP 63011)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | AL | 92083 | Measurement of field of vision during daylight conditions | 45 | 42 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL | |
| - | MO | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | AL | |
| - | AL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | MO |
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