DR. LILIA A FANNIN (M.D.) – Ophthalmology Physician, NPI 1760447312
Ophthalmology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
466 OPHTHALMOLOGY in WA
Provider Addresses for DR. LILIA A FANNIN (M.D.)
301 S 320TH ST
FEDERAL WAY, WA 980035200
Phone: (253) 874-7958
Type: Location
5615 W Sunset Hwy
Spokane, WA 992249454
Phone: (253) 874-7977
Fax: (253) 874-7975
Type: Location
GroupHealth Cooperative, 301, South 320th Street, Federal Way, King County, Washington, 98003, United States
FEDERAL WAY, WA 980035200
Phone: (253) 874-7000
Fax: (425) 874-7557
Type: Mailing
West Sunset Highway, Spokane, Spokane County, Washington, 99219, United States
SPOKANE, WA 992249454
Phone: (253) 874-7977
Fax: (253) 874-7975
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $159.
Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.
Last reported payment date: 2023-10-27 • Largest payer in this snapshot: Glaukos Corporation ($159).
Total Amount
$159
General + Research + Ownership
Payments
1
Total payment records
General Amount
$159
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Glaukos Corporation | $159 |
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: 2009-07-14
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 |
|---|---|---|---|---|
| I20090714000410 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 92083 | Exam of visual field with extended testing | 19 | 11 | $0 |
| 92133 | Imaging of optic nerve | 19 | 12 | $0 |
Insurance plans in this area (ZIP 98003)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | WA | 92083 | Measurement of field of vision during daylight conditions | 20 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | OH | |
| O P H T H A L M O L O G Y | WA | |
| Family Practice | WI | |
| Internal Medicine | OR | |
| Clinical Social Worker | WA | |
| - | WA |
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