DR. ELLEN OWEN ELMORE (O.D.) – Optometrist, NPI 1245678028

DR. ELLEN OWEN ELMORE (O.D.) is a healthcare provider. based in Clarksville, Tennessee. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3100 (TN). The NPI Number for DR. ELLEN OWEN ELMORE (O.D.) is 1245678028

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELLEN OWEN ELMORE (O.D.)
NPI
1245678028
Phone
(931) 648-0544
Address
1492 MADISON ST
Enumeration Date
13 June 2013
Last Update Date
13 June 2013

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9316480544
Graduation Year
2013 (13 years ago)
PAC ID
1355581430
Group Practice PAC ID
9739209008
Professional Enrollment ID
I20130715000016
Address ID
TN370408625CL1492XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

Provider Addresses for DR. ELLEN OWEN ELMORE (O.D.)

  • 1492 MADISON ST

    CLARKSVILLE, TN 370408625

    Phone: (931) 648-0544

    Fax: (931) 648-3625

    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 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-04-06 • Largest payer in this snapshot: CooperVision Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$21
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: 2013-07-15

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
I20130715000016IOptometryTNTBD

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
66984Removal of cataract with insertion of prosthetic lens5,28435$0
92014Established patient complete exam of visual system343341$0
92133Imaging of optic nerve10791$0
92083Exam of visual field with extended testing7963$0
99213Established patient office or other outpatient visit, 20-29 minutes7968$0
View full utilization report →

Insurance plans in this area (ZIP 37040)

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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: 9739209008View full group profile
NameSpecialtyState
O P T O M E T R YTN

Reviews

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Frequently asked questions

What NPI should I save for DR. ELLEN OWEN ELMORE (O.D.)?
Save NPI 1245678028 if you need a stable reference for DR. ELLEN OWEN ELMORE (O.D.).
Is DR. ELLEN OWEN ELMORE (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. ELLEN OWEN ELMORE (O.D.) treat or focus on?
Patients typically see DR. ELLEN OWEN ELMORE (O.D.) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. ELLEN OWEN ELMORE (O.D.)?
The snapshot lists Clarksville, Tennessee for DR. ELLEN OWEN ELMORE (O.D.); download NPPES for the complete set.
What if Clarksville, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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