DR. JOHNNY LEE COSBY (OD) – Optometrist, NPI 1528038296
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
331 OPTOMETRY in MS
Provider Addresses for DR. JOHNNY LEE COSBY (OD)
4149 CANOE TRL NE
BREMERTON, WA 983119403
Phone: (360) 308-8396
Type: Mailing
1801 FULLER RD STE A01
MERIDIAN, MS 39309
Phone: (601) 679-2213
Type: Location
1 Boone Rd
Bremerton, WA 983121894
Phone: (360) 475-4144
Type: Location
1801 Fuller Rd Ste A01
Meridian, MS 39309
Phone: (601) 679-2213
Type: Location
3701 ESPEY HEDGEPETH RD
BAILEY, MS 393209705
Phone: (601) 934-2231
Type: Mailing
4721 26TH AVE
MERIDIAN, MS 393054703
Phone: (601) 485-2020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2023-08-02 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($33).
Total Amount
$33
General + Research + Ownership
Payments
2
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mallinckrodt Hospital Products Inc. | $33 |
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: 2025-07-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230204000363 | I | Optometry | MS | TBD |
| I20250708004569 | I | Optometry | TX | 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 |
|---|---|---|---|---|
| 92004 | New patient complete exam of visual system | 14 | 14 | $0 |
Insurance plans in this area (ZIP 98311)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | MS | |
| - | MS | |
| Clinical Social Worker | MS | |
| - | MS | |
| Nurse Practitioner | MS | |
| - | MS | |
| - | MS | |
| Nurse Practitioner | MS | |
| Internal Medicine | PR | |
| - | MS |
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