DR. ROGER MATEOSSIAN (OD) – Optometrist, NPI 1275618597

DR. ROGER MATEOSSIAN (OD) is a healthcare provider. based in Sparks, Nevada. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. NV126 (NV). The NPI Number for DR. ROGER MATEOSSIAN (OD) is 1275618597

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROGER MATEOSSIAN (OD)
NPI
1275618597
Phone
(775) 353-5665
Address
1261 BARING BLVD
Enumeration Date
26 October 2006
Last Update Date
7 December 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7753592020
Graduation Year
1971 (55 years ago)
PAC ID
4981648979
Group Practice PAC ID
1052390655
Professional Enrollment ID
I20050610000213
Address ID
NV894362501SP5961XPKWY501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

386 OPTOMETRY in NV

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Provider Addresses for DR. ROGER MATEOSSIAN (OD)

  • 1261, Baring Boulevard, Sparks, Washoe County, Nevada, 89434, United States

    SPARKS, NV 894348673

    Phone: (775) 353-5665

    Fax: (775) 353-5660

    Type: Mailing

  • 3915, Baker Lane, Reno, Washoe County, Nevada, 89509, United States

    RENO, NV 895095544

    Phone: (775) 825-3232

    Fax: (775) 689-2494

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $138.

Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.

Last reported payment date: 2024-07-02 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($116).

Total Amount

$138

General + Research + Ownership

Payments

2

Total payment records

General Amount

$138

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-06-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050610000213IOptometryNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system5555$0
View full utilization report →

Insurance plans in this area (ZIP 89434)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052390655View full group profile
NameSpecialtyState
O P T O M E T R YNV
O P T O M E T R YOR
-NV
O P T O M E T R YNV
O P T O M E T R YNV
-NV
O P T O M E T R YNV
-NV
O P T O M E T R YNV
O P T O M E T R YIL

Reviews

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Frequently asked questions

What is DR. ROGER MATEOSSIAN (OD)'s NPI number?
DR. ROGER MATEOSSIAN (OD)'s NPI is 1275618597 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. ROGER MATEOSSIAN (OD)?
You should see DR. ROGER MATEOSSIAN (OD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. ROGER MATEOSSIAN (OD)?
DR. ROGER MATEOSSIAN (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. ROGER MATEOSSIAN (OD)?
Travel planning: use Sparks, Nevada as the reference point for DR. ROGER MATEOSSIAN (OD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.