DR. ANAND MANTRAVADI (M.D.) – Ophthalmology Physician, NPI 1063591402
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,144 OPHTHALMOLOGY in PA
Provider Addresses for DR. ANAND MANTRAVADI (M.D.)
1011 CHESTNUT ST # 804W
PHILADELPHIA, PA 191071421
Phone:
Type: Mailing
216 Mill St
Bristol, PA 190074809
Phone: (215) 781-2020
Fax: (215) 788-3504
Type: Location
840 Walnut St.
Suite 1130
Philadelphia, PA 19107
Phone: (215) 928-3190
Type: Location
2 Wisconsin Cir Ste 230
Chevy Chase, MD 208157005
Phone: (301) 215-7100
Type: Location
2 WISCONSIN CIR STE 230
CHEVY CHASE, MD 208157005
Phone: (301) 215-7100
Type: Mailing
Wills Eye Hospital, 840, Walnut Street, Washington Square West, Center City, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States
SUITE 1130
PHILADELPHIA, PA 19107
Phone: (215) 928-3190
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 87 Open Payments records for all available years, with a total value of $28,914.
Total Amount is formed as General ($28,914) + Research ($0) + Ownership ($0) = $28,914.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Alcon Vision LLC ($21,134).
Total Amount
$28,914
General + Research + Ownership
Payments
87
Total payment records
General Amount
$28,914
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $21,134 |
| NEW WORLD MEDICAL,INC. | $3,365 |
| Dompe US, Inc. | $2,200 |
| ABBVIE INC. | $890 |
| Glaukos Corporation | $865 |
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: 2020-06-24
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 |
|---|---|---|---|---|
| I20070710000019 | I | Ophthalmology | PA | TBD |
| I20200624000131 | I | Ophthalmology | DC | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 595 | 333 | $0 |
| 92083 | Exam of visual field with extended testing | 558 | 495 | $0 |
| 92133 | Imaging of optic nerve | 549 | 514 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 533 | 463 | $0 |
| 92250 | Photography of the retina | 330 | 317 | $0 |
Insurance plans in this area (ZIP 19107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | VA | |
| O P H T H A L M O L O G Y | DC | |
| O P H T H A L M O L O G Y | DC | |
| O P H T H A L M O L O G Y | MD | |
| O P H T H A L M O L O G Y | VA | |
| O P H T H A L M O L O G Y | MD | |
| O P H T H A L M O L O G Y | MD | |
| - | DC | |
| O P T O M E T R Y | MD | |
| O P H T H A L M O L O G Y | CA |
Reviews
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