DR. ANN BALLWEG FONTENOT (O.D.) – Optometrist, NPI 1144280546
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,129 OPTOMETRY in TX
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Provider Addresses for DR. ANN BALLWEG FONTENOT (O.D.)
6520, Josephine Drive, Arlington, Tarrant County, Texas, 76017, United States
ARLINGTON, TX 760174979
Phone: (817) 563-0022
Fax: (817) 473-0013
Type: Mailing
2925, East Broad Street, Polo Crossing, Mansfield, Tarrant County, Texas, 76063, United States
MANSFIELD, TX 760639184
Phone: (817) 477-0223
Fax: (817) 277-9086
Type: Location
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 $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($54).
Total Amount
$100
General + Research + Ownership
Payments
4
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $54 |
| Sight Sciences, Inc. | $24 |
| Bausch & Lomb Americas Inc. | $22 |
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: 2004-01-27
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 |
|---|---|---|---|---|
| I20040127000951 | I | Optometry | TX | 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 | 675 | 647 | $0 |
| 92012 | Established patient problem focused exam of visual system | 208 | 173 | $0 |
| 92134 | Imaging of retina | 151 | 146 | $0 |
| 92133 | Imaging of optic nerve | 137 | 131 | $0 |
| 92004 | New patient complete exam of visual system | 109 | 109 | $0 |
Insurance plans in this area (ZIP 76017)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | TX | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 144 | 111 |
| OPTOMETRY | TX | 92083 | Measurement of field of vision during daylight conditions | 44 | 42 |
| OPTOMETRY | TX | 92134 | Diagnostic imaging of retina | 69 | 62 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | MA | |
| O P T O M E T R Y | TX |
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