ALYSSA MACKENZIE CHILDERS-PITTMAN (OD) – Optometrist, NPI 1023364601

ALYSSA MACKENZIE CHILDERS-PITTMAN (OD) is a healthcare provider. based in Purcellville, Virginia. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 1095-IOD (WV). The NPI Number for ALYSSA MACKENZIE CHILDERS-PITTMAN (OD) is 1023364601

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA MACKENZIE CHILDERS-PITTMAN (OD)
NPI
1023364601
Phone
(540) 338-1833
Address
530 E MAIN ST
Enumeration Date
1 August 2012
Last Update Date
28 July 2015

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5403381833
Graduation Year
2012 (14 years ago)
PAC ID
8426206194
Group Practice PAC ID
6709907454
Professional Enrollment ID
I20141021001660
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:13State licenses:4Digital endpointsOther names

Provider Addresses for ALYSSA MACKENZIE CHILDERS-PITTMAN (OD)

  • 530 E MAIN ST

    PURCELLVILLE, VA 201323171

    Phone: (540) 338-1833

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-10-21

PECOS data refreshed: 2026-06-15

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
I20141021001660IOptometryVATBD

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
92133Imaging of optic nerve1712$0
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
99213Established patient office or other outpatient visit, 20-29 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 20132)

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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: 6709907454View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YMD

Reviews

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Frequently asked questions

Can I verify ALYSSA MACKENZIE CHILDERS-PITTMAN (OD) with an NPI only?
You can start verification with NPI 1023364601 for ALYSSA MACKENZIE CHILDERS-PITTMAN (OD), then check state licensing separately.
Does the file indicate ALYSSA MACKENZIE CHILDERS-PITTMAN (OD) is practicing under active NPI?
Directory data currently reports ALYSSA MACKENZIE CHILDERS-PITTMAN (OD) as active.
What healthcare role does ALYSSA MACKENZIE CHILDERS-PITTMAN (OD) hold?
Scheduling teams often label ALYSSA MACKENZIE CHILDERS-PITTMAN (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect ALYSSA MACKENZIE CHILDERS-PITTMAN (OD) on a map?
Expect Purcellville, Virginia as a primary anchor for ALYSSA MACKENZIE CHILDERS-PITTMAN (OD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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