ELISSE PARK (MD) – Ophthalmology Physician, NPI 1366947061
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
565 OPHTHALMOLOGY in VA
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Provider Addresses for ELISSE PARK (MD)
VCU Medical Center, 1250, East Marshall Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States
RICHMOND, VA 23298
Phone: (804) 828-5208
Type: Location
2371 BLACK ROCK TURNPIKE
FAIRFIELD, CT 06825
Phone: (203) 371-0141
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $1,171.
Total Amount is formed as General ($1,171) + Research ($0) + Ownership ($0) = $1,171.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alcon Vision LLC ($471).
Total Amount
$1,171
General + Research + Ownership
Payments
34
Total payment records
General Amount
$1,171
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $471 |
| Rayner Intraocular Lenses Limited | $144 |
| ABBVIE INC. | $123 |
| Astellas Pharma US Inc | $95 |
| Tarsus Pharmaceuticals, Inc. | $70 |
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: 2022-07-15
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 |
|---|---|---|---|---|
| I20220715000602 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 518 | 442 | $0 |
| 92250 | Photography of the retina | 445 | 424 | $0 |
| 92012 | Established patient problem focused exam of visual system | 381 | 258 | $0 |
| 92004 | New patient complete exam of visual system | 104 | 104 | $0 |
| 92134 | Imaging of retina | 102 | 84 | $0 |
Insurance plans in this area (ZIP 23298)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | CT | |
| O P H T H A L M O L O G Y | CT | |
| O P H T H A L M O L O G Y | CT | |
| O P H T H A L M O L O G Y | CT | |
| - | CT |
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