DR. ANGELO JOSEPH DEVIVO (OD) – Optometrist, NPI 1326040536
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
542 OPTOMETRY in SC
Provider Addresses for DR. ANGELO JOSEPH DEVIVO (OD)
8614 WESTWOOD CENTER DR FL 9
VIENNA, VA 221822442
Phone: (703) 847-8899
Fax: (571) 223-6780
Type: Mailing
1774 PAXVILLE HWY
MANNING, SC 291025071
Phone: (803) 435-2494
Fax: (803) 435-8765
Type: Location
Lake Health Mentor Campus, 9485, Mentor Avenue, Mentor, Lake County, Ohio, 44060, United States
STE 110
MENTOR, OH 440608724
Phone: (440) 255-1115
Fax: (440) 255-1550
Type: Mailing
3310 MAGNOLIA ST
ORANGEBURG, SC 291151466
Phone: (803) 531-6900
Fax: (803) 531-6907
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $488.
Total Amount is formed as General ($488) + Research ($0) + Ownership ($0) = $488.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Alcon Vision LLC ($469).
Total Amount
$488
General + Research + Ownership
Payments
12
Total payment records
General Amount
$488
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $469 |
| ABBVIE 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: 2019-07-22
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 |
|---|---|---|---|---|
| I20190722002624 | I | Optometry | SC | 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 | 83 | 69 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 63 | $0 |
| 92250 | Photography of the retina | 34 | 33 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 29 | 29 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 28 | 26 | $0 |
Insurance plans in this area (ZIP 22182)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | SC | |
| O P T O M E T R Y | SC | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | SC | |
| O P T O M E T R Y | SC |
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