LORRAINE MYERS PROVENCHER (M.D.) – Ophthalmology Physician, NPI 1174935910
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
113 OPHTHALMOLOGY in NE
Provider Addresses for LORRAINE MYERS PROVENCHER (M.D.)
4909 S 118TH ST
OMAHA, NE 681372213
Phone: (402) 506-9970
Fax: (605) 371-7199
Type: Mailing
3621 S STATE ST
ANN ARBOR, MI 481081633
Phone: (734) 647-5299
Type: Mailing
1945 CEI DR
BLUE ASH, OH 452425664
Phone: (513) 984-5133
Fax: (513) 569-3941
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 137 Open Payments records for all available years, with a total value of $132,841.
Total Amount is formed as General ($132,841) + Research ($0) + Ownership ($0) = $132,841.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($40,036).
Total Amount
$132,841
General + Research + Ownership
Payments
137
Total payment records
General Amount
$132,841
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $40,036 |
| Alcon Vision LLC | $28,113 |
| Microsurgical Technology, Inc. | $26,250 |
| Glaukos Corporation | $17,934 |
| Alcon Research LLC | $10,150 |
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: 2023-11-16
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 |
|---|---|---|---|---|
| I20231116001840 | I | Ophthalmology | NE | 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 | 393 | 211 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 195 | 126 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 150 | 87 | $0 |
| 92083 | Exam of visual field with extended testing | 140 | 132 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 125 | 112 | $0 |
Insurance plans in this area (ZIP 68137)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | SD | |
| O P T O M E T R Y | SD | |
| O P H T H A L M O L O G Y | SD | |
| Nurse Practitioner | SD | |
| O P H T H A L M O L O G Y | SD | |
| O P T O M E T R Y | SD | |
| O P T O M E T R Y | SD | |
| O P T O M E T R Y | MN | |
| O P H T H A L M O L O G Y | NE | |
| O P T O M E T R Y | SD |
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