AMANDA ADKISSON (OD) – Optometrist, NPI 1275150906

AMANDA ADKISSON (OD) is a healthcare provider. based in Dallas, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2020014802 (MO). The NPI Number for AMANDA ADKISSON (OD) is 1275150906

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA ADKISSON (OD)
NPI
1275150906
Phone
(636) 200-4393
Address
PO BOX 207163
Enumeration Date
29 June 2020
Last Update Date
30 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
7855942200
Graduation Year
2020 (6 years ago)
PAC ID
6204250475
Group Practice PAC ID
1254338353
Professional Enrollment ID
I20230912000457
Address ID
KS660063099BA404XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for AMANDA ADKISSON (OD)

  • PO BOX 207163

    DALLAS, TX 753207154

    Phone: (636) 200-4393

    Type: Mailing

  • 2645 N Illinois St

    Swansea, IL 622262302

    Phone: (636) 200-4393

    Type: Location

  • 7335 Manchester Rd

    Maplewood, MO 631433107

    Phone: (314) 645-1575

    Type: Location

  • 7 N Euclid Ave

    Saint Louis, MO 631081445

    Phone: (314) 884-2382

    Type: Location

  • 8031 W Florissant Ave Ste C

    Jennings, MO 631361400

    Phone: (314) 222-2071

    Type: Location

  • 8821 LaDue Rd

    Saint Louis, MO 631242045

    Phone: (314) 450-7305

    Type: Location

  • 2572 LeMay Ferry Rd

    Saint Louis, MO 631253131

    Phone: (314) 892-3321

    Type: Location

  • 2525 Green Mount Commons Dr Ste 290

    Belleville, IL 622216735

    Phone: (618) 233-7800

    Type: Location

  • 917 Olive St

    Saint Louis, MO 631011418

    Phone: (314) 621-5303

    Type: Location

  • 8658 Big Bend Blvd

    Webster Groves, MO 631193839

    Phone: (314) 968-4243

    Type: Location

  • 6415 CHIPPEWA ST

    SAINT LOUIS, MO 631092104

    Phone: (636) 200-4393

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $583.

Total Amount is formed as General ($583) + Research ($0) + Ownership ($0) = $583.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($257).

Total Amount

$583

General + Research + Ownership

Payments

20

Total payment records

General Amount

$583

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

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: 2023-09-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200721002054IOptometryMOTBD
I20230912000457IOptometryKSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
99213Established patient office or other outpatient visit, 20-29 minutes1312$0
92014Established patient complete exam of visual system1212$0
View full utilization report →

Insurance plans in this area (ZIP 75320)

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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: 1254338353View full group profile
NameSpecialtyState
-KS
O P T O M E T R YMO
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YNE
O P T O M E T R YKS
O P T O M E T R YMO
O P T O M E T R YTX
O P T O M E T R YMO
O P T O M E T R YKS

Reviews

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Frequently asked questions

What number should I use to identify AMANDA ADKISSON (OD) for billing?
Administrative and clinical systems typically use NPI 1275150906 for AMANDA ADKISSON (OD).
Is AMANDA ADKISSON (OD)'s NPI status active today?
Active status means AMANDA ADKISSON (OD)'s NPI record is not deactivated in the public file.
What does the directory say AMANDA ADKISSON (OD) does?
Insurance directories may phrase it differently, but here AMANDA ADKISSON (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to AMANDA ADKISSON (OD)?
The directory associates AMANDA ADKISSON (OD) with Dallas, Texas. Check all listed addresses for suites or satellite offices.
Can I export AMANDA ADKISSON (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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