DR. SUSAN KRISTINE BULLANO (O.D.) – Optometrist, NPI 1891706412
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 OPTOMETRY in KS
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Provider Addresses for DR. SUSAN KRISTINE BULLANO (O.D.)
13385 SYCAMORE DR
PLATTE CITY, MO 640798358
Phone: (816) 390-8644
Type: Mailing
6120, Johnson Drive, Mission, Johnson County, Kansas, 66202, United States
MISSION, KS 662023333
Phone: (913) 262-3937
Fax: (913) 262-3942
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $51.
Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($19).
Total Amount
$51
General + Research + Ownership
Payments
3
Total payment records
General Amount
$51
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-12-13
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 |
|---|---|---|---|---|
| I20061213000565 | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 52 | 52 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 43 | $0 |
| 92004 | New patient complete exam of visual system | 23 | 23 | $0 |
| 92134 | Imaging of retina | 11 | 11 | $0 |
Insurance plans in this area (ZIP 64079)
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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 H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | MO | |
| O P H T H A L M O L O G Y | IL |
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