DR. PATRICIA CLUBB (O.D.) – Optometrist, NPI 1518493451

DR. PATRICIA CLUBB (O.D.) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 0618002576 (VA). The NPI Number for DR. PATRICIA CLUBB (O.D.) is 1518493451

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRICIA CLUBB (O.D.)
NPI
1518493451
Phone
(703) 847-8899
Address
1950 OLD GALLOWS RD STE 520
Enumeration Date
11 May 2017
Last Update Date
17 December 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
7032609280
Graduation Year
2017 (9 years ago)
PAC ID
0941570535
Group Practice PAC ID
9830362425
Professional Enrollment ID
I20170815000598
Address ID
VA201202417CE13830HWYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for DR. PATRICIA CLUBB (O.D.)

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 10338 BRISTOW CENTER DR

    BRISTOW, VA 201362201

    Phone: (703) 392-1010

    Fax: (703) 392-4975

    Type: Location

  • Arlington Boulevard, Falls Church, Fairfax County, Virginia, 22044, United States

    FALLS CHURCH, VA 220421002

    Phone: (703) 876-5766

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $343.

Total Amount is formed as General ($343) + Research ($0) + Ownership ($0) = $343.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Optos, Inc. ($133).

Total Amount

$343

General + Research + Ownership

Payments

13

Total payment records

General Amount

$343

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

Top Companies

Largest payers in this snapshot

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: 2017-08-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170713002853IOptometryDCTBD
I20170815000598IOptometryVATBD

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 system151151$0
99213Established patient office or other outpatient visit, 20-29 minutes11693$0
99212Established patient office or other outpatient visit, 10-19 minutes6546$0
92004New patient complete exam of visual system6262$0
92133Imaging of optic nerve5454$0
View full utilization report →

Insurance plans in this area (ZIP 22182)

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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: 9830362425View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YVA

Reviews

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Frequently asked questions

Can I cross-check DR. PATRICIA CLUBB (O.D.) using NPI 1518493451?
NPI 1518493451 belongs to DR. PATRICIA CLUBB (O.D.); compare other details if you need extra assurance.
Would DR. PATRICIA CLUBB (O.D.) appear as active to a payer?
You can treat DR. PATRICIA CLUBB (O.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. PATRICIA CLUBB (O.D.)?
DR. PATRICIA CLUBB (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. PATRICIA CLUBB (O.D.)?
Directory geography for DR. PATRICIA CLUBB (O.D.) centers on Vienna, Virginia.
Can I trust this NPI listing for DR. PATRICIA CLUBB (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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