DR. PETER TIEN DZUNG PHAM (O.D.) – Optometrist, NPI 1003155946
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,052 OPTOMETRY in VA
Provider Addresses for DR. PETER TIEN DZUNG PHAM (O.D.)
11936 JADE LAKE LN
BRISTOW, VA 201362231
Phone: (850) 384-1554
Type: Mailing
8300 SUDLEY RD
STE I-6
MANASSAS, VA 201093458
Phone: (850) 384-1554
Type: Location
11024 OAKTON VIEW DR
OAKTON, VA 221242439
Phone: (850) 384-1554
Type: Mailing
14044 PROMENADE COMMONS ST
GAINESVILLE, VA 201554072
Phone: (850) 384-1554
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $664.
Total Amount is formed as General ($664) + Research ($0) + Ownership ($0) = $664.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Alcon Vision LLC ($180).
Total Amount
$664
General + Research + Ownership
Payments
16
Total payment records
General Amount
$664
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $180 |
| Dompe US, Inc. | $122 |
| RxSight Inc | $111 |
| CooperVision Inc. | $104 |
| Optos, Inc. | $96 |
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: 2014-05-14
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 |
|---|---|---|---|---|
| I20140514000300 | I | Optometry | VA | 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 | 342 | 306 | $0 |
| 92014 | Established patient complete exam of visual system | 159 | 159 | $0 |
| 92004 | New patient complete exam of visual system | 138 | 138 | $0 |
| 92082 | Exam of visual field with intermediate testing | 127 | 126 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 55 | 44 | $0 |
Insurance plans in this area (ZIP 20136)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | VA | 92083 | Measurement of field of vision during daylight conditions | 70 | 52 |
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