JESSICA GRIMES PATTON (OD) – Optometrist, NPI 1639728975
Optometrist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
959 OPTOMETRY in GA
Provider Addresses for JESSICA GRIMES PATTON (OD)
1950 OLD GALLOWS RD STE 520
VIENNA, VA 221823970
Phone: (703) 847-8899
Fax: (571) 223-6780
Type: Mailing
217 RIVERSTONE DR
CANTON, GA 301145256
Phone: (770) 345-5220
Fax: (770) 479-5011
Type: Location
33 SW UPPER RIVERDALE ROAD
SUITE 114
RIVERDALE, GA 30274
Phone: (770) 991-1624
Fax: (770) 991-9206
Type: Mailing
255 CORPORATE CENTER DRIVE
SUITE D
STOCKBRIDGE, GA 30281
Phone: (770) 474-7761
Fax: (770) 474-6345
Type: Location
868 YORK AVE SW
ATLANTA, GA 303102750
Phone: (404) 752-1400
Fax: (404) 755-7400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $405.
Total Amount is formed as General ($405) + Research ($0) + Ownership ($0) = $405.
Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($166).
Total Amount
$405
General + Research + Ownership
Payments
7
Total payment records
General Amount
$405
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sun Pharmaceutical Industries Inc. | $166 |
| Glaukos Corporation | $147 |
| Bausch & Lomb Americas Inc. | $71 |
| Alcon Vision LLC | $20 |
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: 2020-07-30
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 |
|---|---|---|---|---|
| I20200730000546 | I | Optometry | GA | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 32 | 31 | $0 |
| 92014 | Established patient complete exam of visual system | 32 | 32 | $0 |
| 92083 | Exam of visual field with extended testing | 13 | 13 | $0 |
| 92134 | Imaging of retina | 13 | 13 | $0 |
Insurance plans in this area (ZIP 22182)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice, Internal Medicine | GA | |
| Internal Medicine | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Clinical Social Worker | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA |
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