DR. MARCIE LUSTGARTEN (OD LLC) – Optometrist, NPI 1134190887
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MARCIE LUSTGARTEN (OD LLC)
1950 OLD GALLOWS RD STE 520
VIENNA, VA 221823970
Phone:
Type: Mailing
747 BOSTON POST RD
MADISON, CT 064433044
Phone: (203) 245-1492
Fax: (203) 245-9002
Type: Location
86, Bradley Road, Madison, South Central Connecticut Planning Region, Connecticut, 06443, United States
MADISON, CT 06443
Phone: (203) 245-0100
Fax: (203) 245-1191
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $280.
Total Amount is formed as General ($280) + Research ($0) + Ownership ($0) = $280.
Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Ocular Therapeutix, Inc. ($121).
Total Amount
$280
General + Research + Ownership
Payments
5
Total payment records
General Amount
$280
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-07-16
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 |
|---|---|---|---|---|
| I20100716000441 | I | Optometry | CT | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 25 | $0 |
| 92250 | Photography of the retina | 17 | 17 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 22182)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | CT | 92083 | Measurement of field of vision during daylight conditions | 19 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | NY | |
| O P T O M E T R Y | CT | |
| O P T O M E T R Y | VA | |
| - | MA | |
| O P T O M E T R Y | CT | |
| O P T O M E T R Y | CT | |
| O P T O M E T R Y | CT | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | CT | |
| O P T O M E T R Y | MI |
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