MCKENZIE SUZANNE FOGARTY (OD) – Optometrist, NPI 1063995181
Optometrist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,098 OPTOMETRY in WA
Provider Addresses for MCKENZIE SUZANNE FOGARTY (OD)
9720 4th Ave NE
Seattle, WA 981152143
Phone: (206) 302-1200
Type: Location
4815 N Assembly St
Spokane, WA 992056185
Phone: (775) 772-0857
Type: Location
1230 W Sprague Ave
Spokane, WA 992014181
Phone: (775) 772-0857
Type: Location
9720 4TH AVE NE
SEATTLE, WA 981152143
Phone: (206) 302-1200
Fax: (206) 302-1283
Type: Mailing
Kaiser Permanente Pharmacy Northgate, 9800, 4th Avenue Northeast, Maple Leaf, Seattle, King County, Washington, 98175, United States
SEATTLE, WA 981152152
Phone: (206) 302-1200
Fax: (206) 302-1283
Type: Mailing
Mann-Grandstaff VA Medical Center, 4815, North Assembly Street, Spokane, Spokane County, Washington, 99205, United States
SPOKANE, WA 992056185
Phone: (775) 772-0857
Type: Location
34719 6TH AVE S
FEDERAL WAY, WA 980038714
Phone: (206) 260-2503
Fax: (855) 929-1515
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $950.
Total Amount is formed as General ($950) + Research ($0) + Ownership ($0) = $950.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($433).
Total Amount
$950
General + Research + Ownership
Payments
22
Total payment records
General Amount
$950
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-09-27
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 |
|---|---|---|---|---|
| I20190927002480 | I | Optometry | WA | 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 | 425 | 327 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 376 | 289 | $0 |
| 92134 | Imaging of retina | 147 | 138 | $0 |
| 92133 | Imaging of optic nerve | 129 | 123 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 107 | 107 | $0 |
Insurance plans in this area (ZIP 98115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | AR | |
| O P H T H A L M O L O G Y | CA | |
| O P T O M E T R Y | WA |
Reviews
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