DR. BRENT RONALD MITTELSTAEDT (D.O.) – Ophthalmology Physician, NPI 1679751358
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
429 OPHTHALMOLOGY in TN
Provider Addresses for DR. BRENT RONALD MITTELSTAEDT (D.O.)
3021 SAINT JOHNS DR
MURFREESBORO, TN 371295834
Phone: (732) 801-6962
Type: Mailing
3400 LEBANON RD
MURFREESBORO, TN 371291392
Phone: (615) 867-6000
Type: Location
13;15;17;19;21;23, Village Square, Chelmsford, Middlesex County, Massachusetts, 01824, United States
CHELMSFORD, MA 018242783
Phone: (978) 256-5600
Fax: (978) 703-0250
Type: Mailing
1700 Medical Center Pkwy
Murfreesboro, TN 371292245
Phone: (615) 396-4100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $221.
Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.
Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Alcon Vision LLC ($108).
Total Amount
$221
General + Research + Ownership
Payments
8
Total payment records
General Amount
$221
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $108 |
| Johnson & Johnson Surgical Vision, Inc. | $66 |
| Glaukos Corporation | $47 |
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: 2022-08-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220823002846 | I | Ophthalmology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37129)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | FL |
Reviews
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