ELISA BANO (OD) – Optometrist, NPI 1679693741
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,771 OPTOMETRY in PA
Provider Addresses for ELISA BANO (OD)
5001 FRANKFORD AVE
PHILADELPHIA, PA 191242619
Phone: (215) 288-5000
Fax: (215) 744-1233
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $948.
Total Amount is formed as General ($948) + Research ($0) + Ownership ($0) = $948.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($143).
Total Amount
$948
General + Research + Ownership
Payments
40
Total payment records
General Amount
$948
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. | $143 |
| Oyster Point Pharma, Inc. | $136 |
| Sandoz Inc. | $134 |
| Bausch & Lomb Americas Inc. | $113 |
| Tarsus Pharmaceuticals, Inc. | $83 |
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: 2015-07-21
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 |
|---|---|---|---|---|
| I20120820000363 | I | Optometry | PA | TBD |
| I20150721000368 | I | Optometry | NJ | 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 | 100 | 85 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 84 | 71 | $0 |
| 92134 | Imaging of retina | 72 | 66 | $0 |
| 92133 | Imaging of optic nerve | 45 | 38 | $0 |
| 92083 | Exam of visual field with extended testing | 38 | 34 | $0 |
Insurance plans in this area (ZIP 19124)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | PA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 45 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | PA | |
| O P H T H A L M O L O G Y | PA | |
| O P H T H A L M O L O G Y | PA | |
| O P H T H A L M O L O G Y | PA | |
| O P H T H A L M O L O G Y | PA | |
| O P T O M E T R Y | PA | |
| O P H T H A L M O L O G Y | PA | |
| O P H T H A L M O L O G Y | PA | |
| O P H T H A L M O L O G Y | NY | |
| O P H T H A L M O L O G Y | PA |
Reviews
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