LOPASTEEDA DEROSA STEPHENS (OD) – Optometrist, NPI 1972507317
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
957 OPTOMETRY in TN
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Provider Addresses for LOPASTEEDA DEROSA STEPHENS (OD)
Walmart Supercenter, 915, North Chancery Street, McMinnville, Warren County, Tennessee, 37110, United States
STE 120
MCMINNVILLE, TN 371101575
Phone: (931) 473-6865
Fax: (931) 473-5269
Type: Location
PO BOX 308
MC MINNVILLE, TN 371110308
Phone: (931) 473-6865
Fax: (931) 473-5870
Type: Mailing
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.
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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: 2026-02-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20100519000097 | I | Optometry | TN | TBD |
| I20250918004382 | I | Optometry | OH | TBD |
| I20250923002789 | I | Optometry | CO | TBD |
| I20251014000118 | I | Optometry | VT | TBD |
| I20251030001511 | I | Optometry | WI | TBD |
| I20251107002366 | I | Optometry | NM | TBD |
| I20260220003355 | I | Optometry | CA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 76 | 75 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 35 | 35 | $0 |
| 92250 | Photography of the retina | 32 | 32 | $0 |
Insurance plans in this area (ZIP 37110)
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