DR. DERRICK T. KOO O.D.
NPI 1053502864
Optometrist - Corneal and Contact Management in Cupertino, CA

Active since August 06, 2007PECOS Enrolled
20568 STEVENS CREEK BLVD, CUPERTINO, CA 95014(408) 777-9000(408) 777-9009 Get Directions Write a Review

NPPES record last updated: January 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Derrick T. Koo O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DERRICK T. KOO O.D. (NPI 1053502864) is an individual corneal and contact management provider in Cupertino, California, licensed in California (OPT 13260 TPA) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053502864
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. DERRICK T. KOOCredential: O.D.
Location Address20568 STEVENS CREEK BLVDCupertino, CA 95014-2130
Mailing Address20568 Stevens Creek BlvdCupertino, CA 95014-2130 · (408) 777-9000 · Fax (408) 777-9009
Fax(408) 777-9009
Sole ProprietorNo
Enumeration DateAugust 6, 2007
Last NPPES UpdateJanuary 30, 2010
NPI 1053502864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License Licensed in CA · OPT 13260 TPA
Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

20568 STEVENS CREEK BLVD, Cupertino, CA 95014

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Derrick T. Koo O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
20568 STEVENS CREEK BLVD
CUPERTINO, CA 95014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Koo's NPI number?

The NPI number for Derrick Koo is 1053502864. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Derrick Koo located?

Derrick Koo practices at 20568 Stevens Creek Blvd, Cupertino, CA 95014. The listed phone number is (408) 777-9000.

What is Derrick Koo's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Derrick Koo enrolled in Medicare?

Yes. Derrick Koo is registered in the Medicare PECOS enrollment system.

What insurance does Derrick Koo accept?

Health plans from BlueCross BlueShield of Tennessee and Providence Health Plan list Derrick Koo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derrick Koo was last updated on January 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.