MARY GRACE MCCUBBIN (O.D.) – Optometrist, NPI 1740413616

MARY GRACE MCCUBBIN (O.D.) is a healthcare provider. based in Lascassas, Tennessee. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OD0000002902 (TN). The NPI Number for MARY GRACE MCCUBBIN (O.D.) is 1740413616

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MARY GRACE MCCUBBIN (O.D.)
NPI
1740413616
Phone
(615) 273-2330
Address
9186 OREGON RD
Enumeration Date
26 August 2009
Last Update Date
17 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6158092416
Graduation Year
2009 (17 years ago)
PAC ID
2769513241
Professional Enrollment ID
I20100628000255
Address ID
TN370854511LA4704XPIKE300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

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Provider Addresses for MARY GRACE MCCUBBIN (O.D.)

  • 9186 OREGON RD

    LASCASSAS, TN 370854430

    Phone: (615) 273-2330

    Type: Mailing

  • Gallatin Pike, Madison, Montague, Nashville, Davidson County, Middle Tennessee, Tennessee, 37115, United States

    PEARLE VISION

    MADISON, TN 371152122

    Phone: (615) 865-8412

    Fax: (615) 865-8470

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-06-28

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
I20100628000255IOptometryTNTBD

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
92014Established patient complete exam of visual system8383$0
99213Established patient office or other outpatient visit, 20-29 minutes5037$0
92250Photography of the retina3226$0
92004New patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 37085)

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Reviews

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Frequently asked questions

How do payers reference MARY GRACE MCCUBBIN (O.D.)?
For MARY GRACE MCCUBBIN (O.D.), use NPI 1740413616 as the unique 10-digit identifier.
Is MARY GRACE MCCUBBIN (O.D.) shown as active in public data?
Registry records indicate MARY GRACE MCCUBBIN (O.D.) maintains an active NPI.
What area of care is associated with MARY GRACE MCCUBBIN (O.D.)?
MARY GRACE MCCUBBIN (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARY GRACE MCCUBBIN (O.D.)?
Travel planning: use Lascassas, Tennessee as the reference point for MARY GRACE MCCUBBIN (O.D.), then confirm.
Does MARY GRACE MCCUBBIN (O.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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