CARL JOHN PELLERIN (MD) – Ophthalmology Physician, NPI 1154996437

CARL JOHN PELLERIN (MD) is a healthcare provider. based in Lubbock, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. V7993 (TX). The NPI Number for CARL JOHN PELLERIN (MD) is 1154996437

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
CARL JOHN PELLERIN (MD)
NPI
1154996437
Phone
(713) 882-6312
Address
3601 4TH ST RM 2A100
Enumeration Date
20 May 2021
Last Update Date
17 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
2812778400
Graduation Year
2021 (5 years ago)
PAC ID
9335540145
Group Practice PAC ID
1951355247
Professional Enrollment ID
I20250624002702
Address ID
TX774791285SU3515XSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

Provider Addresses for CARL JOHN PELLERIN (MD)

  • 3601 4TH ST RM 2A100

    LUBBOCK, TX 794300002

    Phone: (713) 882-6312

    Type: Mailing

  • 3601 4TH ST

    LUBBOCK, TX 794300002

    Phone: (806) 743-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $183.

Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Alcon Vision LLC ($132).

Total Amount

$183

General + Research + Ownership

Payments

5

Total payment records

General Amount

$183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-06-24

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
I20250624002702IOphthalmologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79430)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951355247View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

Is there an official ID for CARL JOHN PELLERIN (MD) in U.S. healthcare records?
The official identifier for CARL JOHN PELLERIN (MD) is NPI 1154996437.
Is there an active status for CARL JOHN PELLERIN (MD)?
For scheduling context, CARL JOHN PELLERIN (MD) is shown as active in the registry.
What area of care is associated with CARL JOHN PELLERIN (MD)?
CARL JOHN PELLERIN (MD)'s record emphasizes Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is CARL JOHN PELLERIN (MD) associated with Lubbock?
Public fields place CARL JOHN PELLERIN (MD) around Lubbock, Texas. Always confirm the exact site before visiting.
Does CARL JOHN PELLERIN (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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