DR. JOHN THOMAS GINGRICH (O.D.) – Optometrist, NPI 1902858889
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
957 OPTOMETRY in TN
Provider Addresses for DR. JOHN THOMAS GINGRICH (O.D.)
JAMES H. QUILLEN VAMC
EYE CLINIC 112-E
MOUNTAIN HOME, TN 37684
Phone: (423) 926-1171
Type: Location
2909, Muskett Drive, Beechwood Court, Forest View, Johnson City, Washington County, East Tennessee, Tennessee, 37604, United States
JOHNSON CITY, TN 376046390
Phone: (423) 434-0162
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $194.
Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Alcon Vision LLC ($178).
Total Amount
$194
General + Research + Ownership
Payments
4
Total payment records
General Amount
$194
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $178 |
| Bausch & Lomb Americas Inc. | $16 |
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: 2016-12-16
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 |
|---|---|---|---|---|
| I20101123000515 | I | Optometry | TN | TBD |
| I20161216002184 | I | Optometry | MT | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 28 | 28 | $0 |
| 92004 | New patient complete exam of visual system | 11 | 11 | $0 |
Insurance plans in this area (ZIP 37684)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | NE | |
| - | MT | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | IL | |
| - | UT | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IA |
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