ROBERT P WOOLDRIDGE (O.D. PC) – Optometrist, NPI 1013962828
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
312 OPTOMETRY in UT
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Provider Addresses for ROBERT P WOOLDRIDGE (O.D. PC)
201, 5900 South, South Cottonwood Acres, Murray, Salt Lake County, Utah, 84107, United States
#201
MURRAY, UT 84107
Phone: (801) 268-6408
Fax: (801) 262-9216
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 112 Open Payments records for all available years, with a total value of $2,158.
Total Amount is formed as General ($2,158) + Research ($0) + Ownership ($0) = $2,158.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($674).
Total Amount
$2,158
General + Research + Ownership
Payments
112
Total payment records
General Amount
$2,158
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mallinckrodt Hospital Products Inc. | $674 |
| Alcon Vision LLC | $285 |
| ABBVIE INC. | $253 |
| Thea Pharma Inc. | $140 |
| Tarsus Pharmaceuticals, Inc. | $137 |
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: 2008-10-15
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 |
|---|---|---|---|---|
| I20081015000505 | I | Optometry | UT | 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 | 374 | 282 | $0 |
| 92012 | Established patient problem focused exam of visual system | 266 | 178 | $0 |
| 92133 | Imaging of optic nerve | 242 | 200 | $0 |
| 92250 | Photography of the retina | 240 | 230 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 149 | 90 | $0 |
Insurance plans in this area (ZIP 84107)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | UT | 92083 | Measurement of field of vision during daylight conditions | 325 | 264 |
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