DR. PENPORN VONGSVIVUT RECK (MD) – Ophthalmology Physician, NPI 1811919871
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
466 OPHTHALMOLOGY in WA
Provider Addresses for DR. PENPORN VONGSVIVUT RECK (MD)
724 Columbia St NW Ste 100
Olympia, WA 985011291
Phone: (360) 456-3200
Fax: (360) 923-4341
Type: Location
215 Lilly Rd NE
Olympia, WA 985065030
Phone: (360) 456-3200
Fax: (360) 923-4341
Type: Location
345 COLLEGE ST SE STE C
LACEY, WA 985031014
Phone: (360) 456-3200
Fax: (360) 456-3894
Type: Location
345, College Street Southeast, Lacey, Thurston County, Washington, 98503, United States
SUITE C
LACEY, WA 985031014
Phone: (360) 456-3200
Fax: (360) 456-3894
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $215.
Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.
Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Alcon Vision LLC ($143).
Total Amount
$215
General + Research + Ownership
Payments
11
Total payment records
General Amount
$215
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $143 |
| Genentech USA, Inc. | $35 |
| Biogen, Inc. | $19 |
| Astellas Pharma US Inc | $19 |
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: 2008-07-23
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 |
|---|---|---|---|---|
| I20080723000329 | 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 |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 9,422 | 38 | $0 |
| 92134 | Imaging of retina | 814 | 280 | $0 |
| 67028 | Injection of drug into eye | 519 | 146 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 498 | 82 | $0 |
| 92014 | Established patient complete exam of visual system | 404 | 232 | $0 |
Insurance plans in this area (ZIP 98501)
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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 H T H A L M O L O G Y | CA | |
| 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 T O M E T R Y | IL | |
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | WA | |
| O P T O M E T R 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 |
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