DR. JOHN MICHAEL CUMMINGS (O.D.) – Optometrist, NPI 1922395441
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JOHN MICHAEL CUMMINGS (O.D.)
15933 CLAYTON RD
SUITE 201
BALLWIN, MO 630112172
Phone: (636) 200-4393
Fax: (636) 527-0838
Type: Mailing
8050 NAVARRE PKWY
NAVARRE, FL 32566
Phone: (850) 939-3459
Fax: (850) 497-6219
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $278.
Total Amount is formed as General ($278) + Research ($0) + Ownership ($0) = $278.
Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($122).
Total Amount
$278
General + Research + Ownership
Payments
4
Total payment records
General Amount
$278
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $122 |
| ABBVIE INC. | $121 |
| Alcon Vision LLC | $35 |
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: 2012-07-17
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 |
|---|---|---|---|---|
| I20120717000352 | I | Optometry | FL | 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 | 46 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 35 | $0 |
| 92004 | New patient complete exam of visual system | 35 | 35 | $0 |
| 92012 | Established patient problem focused exam of visual system | 29 | 29 | $0 |
| 92014 | Established patient complete exam of visual system | 19 | 19 | $0 |
Insurance plans in this area (ZIP 63011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | FL | |
| - | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | MO |
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