DR. ADDISON DIMARTINO (O.D.) – Optometrist, NPI 1083963466

DR. ADDISON DIMARTINO (O.D.) is a healthcare provider. based in Greeneville, Tennessee. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3057 (TN). The NPI Number for DR. ADDISON DIMARTINO (O.D.) is 1083963466

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADDISON DIMARTINO (O.D.)
NPI
1083963466
Phone
(423) 683-4151
Address
204 Emory Dr
Enumeration Date
31 August 2012
Last Update Date
4 March 2026

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
3525970410
Graduation Year
2012 (14 years ago)
PAC ID
9739330770
Group Practice PAC ID
8224931993
Professional Enrollment ID
I20150723008239
Address ID
FL346137804BR13161BLVD300

Contacts

Secure Messaging
adimartino@eapinellas.intellechartdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness95
Years active:13State licenses:1Other names

957 OPTOMETRY in TN

Provider Addresses for DR. ADDISON DIMARTINO (O.D.)

  • 204 Emory Dr

    Greeneville, TN 37745

    Phone: (423) 683-4151

    Fax: (423) 639-6861

    Type: Location

  • 204 EMORY DR

    GREENEVILLE, TN 37745

    Phone: (423) 683-4151

    Fax: (423) 639-6861

    Type: Mailing

  • 13161 CORTEZ BLVD STE 101

    SPRING HILL, FL 346137804

    Phone: (352) 597-0410

    Type: Mailing

  • 13161 CORTEZ BLVD

    SPRING HILL, FL 346137804

    Phone: (352) 597-0410

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-07-19 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($48).

Total Amount

$91

General + Research + Ownership

Payments

3

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150723008239IOptometryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3534$0
99212Established patient office or other outpatient visit, 10-19 minutes2723$0
99203New patient office or other outpatient visit, 30-44 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 37745)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224931993View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YIL
O P T O M E T R YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P T O M E T R YNY
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ADDISON DIMARTINO (O.D.)?
DR. ADDISON DIMARTINO (O.D.) — NPI 1083963466 — is the standard way to identify this listing.
Can I rely on DR. ADDISON DIMARTINO (O.D.) being an active provider?
As of the registry snapshot, DR. ADDISON DIMARTINO (O.D.) is marked active.
What taxonomy line describes DR. ADDISON DIMARTINO (O.D.)?
For research purposes, treat DR. ADDISON DIMARTINO (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. ADDISON DIMARTINO (O.D.) based?
DR. ADDISON DIMARTINO (O.D.) is tied to Greeneville, Tennessee in the data we show; additional addresses may exist on the full record.
Is the information about DR. ADDISON DIMARTINO (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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