SUSAN GRESHAM (OD) – Optometrist, NPI 1053975763

SUSAN GRESHAM (OD) is a healthcare provider. based in Fishersville, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618002780 (VA). The NPI Number for SUSAN GRESHAM (OD) is 1053975763

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN GRESHAM (OD)
NPI
1053975763
Phone
Not provided
Address
17 N MEDICAL PARK DR
Enumeration Date
28 April 2019
Last Update Date
7 July 2020

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
5402137720
Graduation Year
2019 (7 years ago)
PAC ID
7810222601
Group Practice PAC ID
7416917554
Professional Enrollment ID
I20191021002146
Address ID
VA229392344FI17XXXDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Loading map...

Provider Addresses for SUSAN GRESHAM (OD)

  • 17 N MEDICAL PARK DR

    FISHERSVILLE, VA 229392344

    Phone:

    Type: Mailing

  • 1500, Commerce Road, City of Staunton, Augusta County, Virginia, 24401, United States

    STAUNTON, VA 244019032

    Phone: (540) 213-7720

    Fax: (540) 213-9441

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $550.

Total Amount is formed as General ($550) + Research ($0) + Ownership ($0) = $550.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($141).

Total Amount

$550

General + Research + Ownership

Payments

26

Total payment records

General Amount

$550

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2019-10-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191021002146IOptometryVATBD

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
92014Established patient complete exam of visual system119119$0
92012Established patient problem focused exam of visual system11498$0
92004New patient complete exam of visual system4040$0
92083Exam of visual field with extended testing1714$0
92134Imaging of retina1414$0
View full utilization report →

Insurance plans in this area (ZIP 22939)

Loading plans...

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: 7416917554View full group profile
NameSpecialtyState
-VA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
O P T O M E T R YVA
O P H T H A L M O L O G YNC
O P H T H A L M O L O G YVA
-VA
O P H T H A L M O L O G YVA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference SUSAN GRESHAM (OD)?
For SUSAN GRESHAM (OD), use NPI 1053975763 as the unique 10-digit identifier.
Is SUSAN GRESHAM (OD) still an active registrant?
SUSAN GRESHAM (OD) carries an active NPI according to the public dataset.
What clinical focus is listed for SUSAN GRESHAM (OD)?
At a glance, SUSAN GRESHAM (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SUSAN GRESHAM (OD)?
Travel planning: use Fishersville, Virginia as the reference point for SUSAN GRESHAM (OD), then confirm.
Does SUSAN GRESHAM (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

17, North Medical Park Drive, Fishersville, Augusta County, Virginia, 22939, United States
NPI: 1265429328
1825 Graves Mill Rd
NPI: 1861473050
17, North Medical Park Drive, Fishersville, Augusta County, Virginia, 22939, United States
NPI: 1932186814

Augusta Eye Associates, P.L.C.

Ophthalmology Physician
1500 Commerce Rd
NPI: 1982613576
17, North Medical Park Drive, Fishersville, Augusta County, Virginia, 22939, United States
NPI: 1457459265
17 N MEDICAL PARK DR
NPI: 1891945697
2927, Stuarts Draft Highway, Stuarts Draft, Augusta County, Virginia, 24477, United States
NPI: 1245561521
1500 Commerce Rd
NPI: 1265958524