DR. MATT L GRANTHAM (O.D.) – Optometrist, NPI 1255487393
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
684 OPTOMETRY in OK
Provider Addresses for DR. MATT L GRANTHAM (O.D.)
101 SMITH AVE STE 2
POTEAU, OK 749532613
Phone: (918) 647-9283
Fax: (918) 649-0878
Type: Mailing
Grantham Eye Clinic, 218, West Main Street, Wilburton, Latimer County, Oklahoma, 74578, United States
WILBURTON, OK 745784046
Phone: (918) 465-3780
Fax: (918) 465-3313
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2012-04-09
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 |
|---|---|---|---|---|
| I20120409000158 | I | Optometry | OK | 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 | 160 | 151 | $0 |
| 92012 | Established patient problem focused exam of visual system | 70 | 44 | $0 |
| 92004 | New patient complete exam of visual system | 64 | 64 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 38 | 21 | $0 |
Insurance plans in this area (ZIP 74953)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | OK | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 74 | 49 |
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