MRS. ALEXZANDRA RUDINOFF ROTH (OD) – Optometrist, NPI 1053978361
Optometrist
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Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
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Provider Addresses for MRS. ALEXZANDRA RUDINOFF ROTH (OD)
617, East Madison Street, Gibsonburg, Sandusky County, Ohio, 43431, United States
GIBSONBURG, OH 434311411
Phone: (419) 307-7915
Type: Mailing
Hayes Avenue, Downtown Fremont Historic District, Fremont, Sandusky County, Ohio, 43420, United States
SUITE B
FREMONT, OH 434202634
Phone: (419) 334-8121
Fax: (419) 332-9351
Type: Location
1002 Garden Lake Pkwy
Toledo, OH 436142780
Phone: (419) 720-3937
Type: Location
622 Parkway Dr
Fostoria, OH 448301573
Phone: (419) 435-3482
Type: Location
2311 HAYES AVE
SUITE B
FREMONT, OH 434202634
Phone: (419) 334-8121
Fax: (419) 332-9351
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $244.
Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Alcon Vision LLC ($116).
Total Amount
$244
General + Research + Ownership
Payments
9
Total payment records
General Amount
$244
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $116 |
| Bausch & Lomb Americas Inc. | $93 |
| Sight Sciences, Inc. | $21 |
| CooperVision Inc. | $13 |
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: 2019-08-16
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 |
|---|---|---|---|---|
| I20190816002330 | I | Optometry | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 143 | 137 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 91 | 73 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 64 | 64 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 33 | 28 | $0 |
| 92133 | Imaging of optic nerve | 31 | 31 | $0 |
Insurance plans in this area (ZIP 43431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| O P H T H A L M O L O G Y | OH |
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