DR. PEYAM MOJALLAL (OD) – Low Vision Rehabilitation Optometrist, NPI 1154378511
Low Vision Rehabilitation Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,052 OPTOMETRY in VA
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Provider Addresses for DR. PEYAM MOJALLAL (OD)
20600, Gordon Park Square, Ashburn Professional Park, Ashburn, Loudoun County, Virginia, 20147, United States
SUITE 150
ASHBURN, VA 201473145
Phone: (703) 723-3433
Fax: (703) 723-1920
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 3 Open Payments records for all available years, with a total value of $150.
Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Sight Sciences, Inc. ($112).
Total Amount
$150
General + Research + Ownership
Payments
3
Total payment records
General Amount
$150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sight Sciences, Inc. | $112 |
| ABBVIE INC. | $19 |
| Tarsus Pharmaceuticals, Inc. | $19 |
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: 2005-04-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040928001250 | I | Optometry | DC | TBD |
| I20050422001196 | 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 | 263 | 97 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 83 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 42 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 50 | 47 | $0 |
| 92004 | New patient complete exam of visual system | 40 | 40 | $0 |
Insurance plans in this area (ZIP 20147)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | VA |
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