DR. WADE ALLEN KONVALIN (O.D.) – Optometrist, NPI 1386642635

DR. WADE ALLEN KONVALIN (O.D.) is a healthcare provider. based in Prosper, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4286TG (TX). The NPI Number for DR. WADE ALLEN KONVALIN (O.D.) is 1386642635

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. WADE ALLEN KONVALIN (O.D.)
NPI
1386642635
Phone
(972) 347-2020
Address
221 N PRESTON RD
Enumeration Date
11 July 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
9038380783
Graduation Year
1990 (36 years ago)
PAC ID
6305847070
Group Practice PAC ID
4082952874
Professional Enrollment ID
I20070123000567
Address ID
TX755032328TE2703XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,129 OPTOMETRY in TX

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Provider Addresses for DR. WADE ALLEN KONVALIN (O.D.)

  • 221, Preston Road, Prosper, Collin County, Texas, 75078, United States

    STE B

    PROSPER, TX 750788792

    Phone: (972) 347-2020

    Fax: (972) 347-2072

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $278.

Total Amount is formed as General ($278) + Research ($0) + Ownership ($0) = $278.

Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Alcon Vision LLC ($228).

Total Amount

$278

General + Research + Ownership

Payments

8

Total payment records

General Amount

$278

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-06

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: 2007-01-23

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
I20070123000567IOptometryTXTBD

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
92014Established patient complete exam of visual system6161$0
99213Established patient office or other outpatient visit, 20-29 minutes3326$0
99212Established patient office or other outpatient visit, 10-19 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 75078)

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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: 4082952874View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YOK
O P T O M E T R YCA
-TX
O P T O M E T R YTX
-VA
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YVA
O P T O M E T R YTX

Reviews

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Frequently asked questions

What identifier follows DR. WADE ALLEN KONVALIN (O.D.) across health systems?
The NPI 1386642635 uniquely identifies DR. WADE ALLEN KONVALIN (O.D.) in U.S. healthcare data.
Quick check: is DR. WADE ALLEN KONVALIN (O.D.) active?
Public NPPES data shows DR. WADE ALLEN KONVALIN (O.D.) with an active NPI status right now.
What does the directory say DR. WADE ALLEN KONVALIN (O.D.) does?
Insurance directories may phrase it differently, but here DR. WADE ALLEN KONVALIN (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. WADE ALLEN KONVALIN (O.D.)?
DR. WADE ALLEN KONVALIN (O.D.) shows a connection to Prosper, Texas in registry-derived data.
Who maintains DR. WADE ALLEN KONVALIN (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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