DR. JACK EBRAHIMPOUR ABRAMS (M.D.) – Specialist, NPI 1780684571
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
355 OPHTHALMOLOGY in AZ
Provider Addresses for DR. JACK EBRAHIMPOUR ABRAMS (M.D.)
6450 MEDICAL CENTER ST
SUITE 100
LAS VEGAS, NV 891482442
Phone: (702) 304-9494
Fax: (702) 304-9495
Type: Mailing
40 Capri Blvd
Lake Havasu City, AZ 864035661
Phone: (928) 855-9477
Type: Location
4800 N 22ND ST STE 210
PHOENIX, AZ 850164963
Phone: (702) 304-9494
Fax: (702) 304-9495
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $942.
Total Amount is formed as General ($942) + Research ($0) + Ownership ($0) = $942.
Last reported payment date: 2024-11-23 • Largest payer in this snapshot: Glaukos Corporation ($255).
Total Amount
$942
General + Research + Ownership
Payments
31
Total payment records
General Amount
$942
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-23
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: 2022-06-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20041119000207 | I | Ophthalmology | NV | TBD |
| I20220617001091 | I | Ophthalmology | AZ | 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 | 866 | 660 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 666 | 613 | $0 |
| 92134 | Imaging of retina | 342 | 303 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 297 | 151 | $0 |
| 92083 | Exam of visual field with extended testing | 254 | 220 | $0 |
Insurance plans in this area (ZIP 89148)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | NV | 92134 | Diagnostic imaging of retina | 934 | 791 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | NV | |
| O P H T H A L M O L O G Y | NV | |
| O P T O M E T R Y | CA | |
| O P H T H A L M O L O G Y | NV | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | NV | |
| O P H T H A L M O L O G Y | PA | |
| O P H T H A L M O L O G Y | NV |
Reviews
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