H THERESA PORTER (OD) – Optometrist, NPI 1679612766
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
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Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for H THERESA PORTER (OD)
693 HALLERWOOD WAY
COLVILLE, WA 99114
Phone: (509) 684-9293
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-10-31 (145 days away).
Enrollment records
1
Earliest due date
2026-10-31
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 |
|---|---|---|---|---|
| O20130521000605 | O | Physician - Optometrist | WA | 2026-10-31 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 34 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $0 |
| 92004 | New patient complete exam of visual system | 20 | 20 | $0 |
| 92250 | Photography of the retina | 16 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 11 | $0 |
Insurance plans in this area (ZIP 99114)
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