DR. COURTNEY D. THELEN (O.D.) – Corneal and Contact Management Optometrist, NPI 1639177108
Corneal and Contact Management 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. COURTNEY D. THELEN (O.D.)
Little River Turnpike, Camelot, Annandale, Fairfax, Virginia, 22031, United States
SUITE B
ANNANDALE, VA 220032839
Phone: (703) 941-4111
Fax: (703) 941-3929
Type: Mailing
Little River Turnpike, Crestwood Manor, Annandale, Fairfax, Virginia, 22031, United States
ANNANDALE, VA 220032614
Phone: (703) 941-4111
Fax: (703) 941-3929
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $1,849.
Total Amount is formed as General ($1,849) + Research ($0) + Ownership ($0) = $1,849.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Alcon Vision LLC ($388).
Total Amount
$1,849
General + Research + Ownership
Payments
41
Total payment records
General Amount
$1,849
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $388 |
| Optos, Inc. | $330 |
| Tarsus Pharmaceuticals, Inc. | $228 |
| CooperVision Inc. | $206 |
| ABB Con-Cise Optical Group LLC | $196 |
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: 2007-02-07
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 |
|---|---|---|---|---|
| I20070207000092 | I | Optometry | DC | 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 | 270 | 266 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 118 | 77 | $0 |
| 92250 | Photography of the retina | 92 | 81 | $0 |
| 92004 | New patient complete exam of visual system | 36 | 36 | $0 |
| 92083 | Exam of visual field with extended testing | 26 | 22 | $0 |
Insurance plans in this area (ZIP 22003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | VA |
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