IAN T CHRISTENSEN (MD) – Ophthalmology Physician, NPI 1104449875
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 OPHTHALMOLOGY in UT
Provider Addresses for IAN T CHRISTENSEN (MD)
2700 HOMESTEAD RD STE 30
PARK CITY, UT 840984874
Phone: (435) 658-3090
Fax: (435) 658-3094
Type: Mailing
1818 MICHIGAN AVE
LOS ANGELES, CA 900332452
Phone: (801) 822-7436
Type: Mailing
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 900332414
Phone: (323) 268-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $2,872.
Total Amount is formed as General ($2,872) + Research ($0) + Ownership ($0) = $2,872.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Alcon Vision LLC ($1,678).
Total Amount
$2,872
General + Research + Ownership
Payments
27
Total payment records
General Amount
$2,872
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $1,678 |
| Bausch & Lomb Americas Inc. | $404 |
| Glaukos Corporation | $177 |
| Carl Zeiss Meditec USA, Inc. | $168 |
| RxSight Inc | $155 |
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: 2026-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20240701003278 | I | Ophthalmology | OR | TBD |
| I20260107002533 | I | Ophthalmology | UT | TBD |
| I20260219002409 | I | Ophthalmology | WY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84098)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CA | |
| O P H T H A L M O L O G Y | MT |
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