SARAH BETH NISSEN (O.D.) – Optometrist, NPI 1164523924
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,779 OPTOMETRY in PA
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Provider Addresses for SARAH BETH NISSEN (O.D.)
Haverford Road, Penn Wynne, Ardmore, Lower Merion Township, Montgomery County, Pennsylvania, 19003, United States
WYNNEWOOD, PA 190963318
Phone: (610) 930-6858
Fax: (610) 356-3324
Type: Mailing
West Chester Pike, Broomall, Marple Township, Delaware County, Pennsylvania, 19008, United States
BROOMALL, PA 190081827
Phone: (610) 356-3933
Fax: (610) 356-3324
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $377.
Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($166).
Total Amount
$377
General + Research + Ownership
Payments
13
Total payment records
General Amount
$377
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
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: 2010-06-23
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20100623000776 | I | Optometry | PA | 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 | 162 | 129 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 35 | $0 |
| 92014 | Established patient complete exam of visual system | 52 | 52 | $0 |
| 92134 | Imaging of retina | 38 | 35 | $0 |
| 92083 | Exam of visual field with extended testing | 23 | 23 | $0 |
Insurance plans in this area (ZIP 19096)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | PA |
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