RAYANNE ELISE PASSARELLI (OD) – Optometrist, NPI 1043053606

RAYANNE ELISE PASSARELLI (OD) is a healthcare provider. based in Reston, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618003424 (VA). The NPI Number for RAYANNE ELISE PASSARELLI (OD) is 1043053606

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
RAYANNE ELISE PASSARELLI (OD)
NPI
1043053606
Phone
(703) 467-9080
Address
11656 PLAZA AMERICA DR
Enumeration Date
13 June 2024
Last Update Date
13 June 2024

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5409555051
Graduation Year
2024 (2 years ago)
PAC ID
2062955743
Group Practice PAC ID
1759301765
Professional Enrollment ID
I20250221001919
Address ID
VA226111337BE3XXXXSTXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for RAYANNE ELISE PASSARELLI (OD)

  • 11656 PLAZA AMERICA DR

    RESTON, VA 201904700

    Phone: (703) 467-9080

    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 19 Open Payments records for all available years, with a total value of $278.

Total Amount is formed as General ($278) + Research ($0) + Ownership ($0) = $278.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($183).

Total Amount

$278

General + Research + Ownership

Payments

19

Total payment records

General Amount

$278

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

View all Open Payments →|Open Payments Risk Radar →

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: 2025-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240622000304IOptometryDCTBD
I20250221001919IOptometryVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20190)

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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: 1759301765View 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 YVA
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 YVA
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 YVA
O P T O M E T R YVA

Reviews

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Frequently asked questions

How is RAYANNE ELISE PASSARELLI (OD) identified in CMS data?
CMS-hosted NPPES data lists RAYANNE ELISE PASSARELLI (OD) with NPI 1043053606.
Can I rely on RAYANNE ELISE PASSARELLI (OD) being an active provider?
As of the registry snapshot, RAYANNE ELISE PASSARELLI (OD) is marked active.
What is RAYANNE ELISE PASSARELLI (OD) best known for clinically?
Directory data describes RAYANNE ELISE PASSARELLI (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect RAYANNE ELISE PASSARELLI (OD) on a map?
Expect Reston, Virginia as a primary anchor for RAYANNE ELISE PASSARELLI (OD) unless the record lists multiple sites.
Why does RAYANNE ELISE PASSARELLI (OD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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