DR. CHAD JAMES DOUGLAS (O.D.) – Optometrist, NPI 1609858240
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
Provider Addresses for DR. CHAD JAMES DOUGLAS (O.D.)
302 NILES CORTLAND RD NE
WARREN, OH 444841940
Phone: (330) 394-2020
Fax: (330) 395-7194
Type: Mailing
East Market Street, Iddings Park, Warren, Trumbull County, Ohio, 44482, United States
WARREN, OH 444842259
Phone: (330) 394-2020
Fax: (330) 395-7194
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $583.
Total Amount is formed as General ($583) + Research ($0) + Ownership ($0) = $583.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: CooperVision Inc. ($361).
Total Amount
$583
General + Research + Ownership
Payments
16
Total payment records
General Amount
$583
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
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: 2005-07-26
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 |
|---|---|---|---|---|
| I20050726001009 | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 181 | 176 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 151 | 81 | $0 |
| 92134 | Imaging of retina | 64 | 57 | $0 |
| 92004 | New patient complete exam of visual system | 13 | 13 | $0 |
| 92083 | Exam of visual field with extended testing | 13 | 12 | $0 |
Insurance plans in this area (ZIP 44484)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | OH | 92083 | Measurement of field of vision during daylight conditions | 15 | 15 |
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 |
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