SHAWN T SUSSMANE (OD) – Optometrist, NPI 1386644151
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
957 OPTOMETRY in TN
Provider Addresses for SHAWN T SUSSMANE (OD)
104 Keller Ln
Maryville, TN 378016201
Phone: (865) 681-3937
Fax: (865) 681-3422
Type: Location
PO BOX 100284
GAINESVILLE, FL 326100284
Phone: (352) 273-8778
Fax: (352) 273-7402
Type: Mailing
East Weisgarber Road, Knoxville, Knox County, Tennessee, 37909, United States
KNOXVILLE, TN 379092686
Phone: (865) 584-2127
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $202.
Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.
Last reported payment date: 2024-05-06 • Largest payer in this snapshot: Dompe US, Inc. ($125).
Total Amount
$202
General + Research + Ownership
Payments
2
Total payment records
General Amount
$202
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dompe US, Inc. | $125 |
| Bausch & Lomb Americas Inc. | $77 |
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: 2024-06-07
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 |
|---|---|---|---|---|
| I20040419000448 | I | Optometry | TN | TBD |
| I20240607002944 | I | Optometry | FL | 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 | 35 | 33 | $0 |
| 92014 | Established patient complete exam of visual system | 25 | 24 | $0 |
| 92004 | New patient complete exam of visual system | 18 | 18 | $0 |
| 92002 | New patient problem focused exam of visual system | 15 | 15 | $0 |
| 92250 | Photography of the retina | 11 | 11 | $0 |
Insurance plans in this area (ZIP 37801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | FL | |
| Nurse Practitioner | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL |
Reviews
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