DR. MELANIE MONTES VARDEMAN (O.D.) – Optometrist, NPI 1669589081
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,128 OPTOMETRY in TX
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Provider Addresses for DR. MELANIE MONTES VARDEMAN (O.D.)
4729, Northeast Stallings Drive, Nacogdoches, Nacogdoches County, Texas, 75965, United States
NACOGDOCHES, TX 759651607
Phone: (936) 564-2634
Fax: (936) 564-0387
Type: Location
PO BOX 632767
NACOGDOCHES, TX 759632767
Phone: (936) 564-2634
Fax: (936) 564-0387
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $427.
Total Amount is formed as General ($427) + Research ($0) + Ownership ($0) = $427.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Alcon Vision LLC ($207).
Total Amount
$427
General + Research + Ownership
Payments
21
Total payment records
General Amount
$427
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $207 |
| Ocular Therapeutix, Inc. | $138 |
| Johnson & Johnson Vision Care, Inc. | $60 |
| Oyster Point Pharma, 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: 2010-01-19
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 |
|---|---|---|---|---|
| I20100119000456 | 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 |
|---|---|---|---|---|
| 92250 | Photography of the retina | 257 | 245 | $0 |
| 92012 | Established patient problem focused exam of visual system | 241 | 222 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 56 | $0 |
| 92014 | Established patient complete exam of visual system | 65 | 60 | $0 |
| 92002 | New patient problem focused exam of visual system | 52 | 52 | $0 |
Insurance plans in this area (ZIP 75965)
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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 | 168 | 142 |
| OPTOMETRY | TX | 92083 | Measurement of field of vision during daylight conditions | 52 | 46 |
| OPTOMETRY | TX | 92134 | Diagnostic imaging of retina | 30 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TX |
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