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DR. LEXI DERRY O.D.
NPI 1063709491
Optometrist in Watertown, WI

Active since July 06, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
123 HOSPITAL DR, WATERTOWN, WI 53098(202) 618-2259(920) 261-5343 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2022, Dec 21, 2016 (2 updates tracked since 2016).

About Dr. Lexi Derry O.d. NPPES

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

DR. LEXI DERRY O.D. (NPI 1063709491) is an individual optometrist in Watertown, Wisconsin, licensed in Wisconsin (3659-35) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Watertown Memorial Hospital, and is a graduate of Illinois College Of Optometry At Chicago (2011).

NPPES Registry Identity

NPI1063709491
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LEXI DERRYCredential: O.D.
Location Address123 HOSPITAL DRWatertown, WI 53098-3331
Mailing Address123 Hospital DrWatertown, WI 53098-3331 · (217) 841-4810
Phone(202) 618-2259
Fax(920) 261-5343
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2011
Enumeration DateJuly 6, 2011
Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1063709491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in WI · 3659-35✔ Licensed in IL · 046.010474✔ Licensed in TX · 855TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
123 HOSPITAL DR, Watertown, WI 53098
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Other Identifiers 1

Medicaid046010474IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lexi Derry O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183847189
PECOS Enrollment IDI20210213000104
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
532 services532 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
106 services103 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
104 services94 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
80 services80 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services43 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Watertown Memorial Hospital

Acute Care Hospitals · Watertown, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520116
Location125 Hospital DriveWatertown, WI 53098 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53098 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

WATERTOWN REGIONAL MEDICAL CENTER, INC
Physician Assistant
123 HOSPITAL DR, STE 2004
WATERTOWN, WI 53098
Dodge County (920) 262-4371
WATERTOWN INTERNAL MEDICINE SC
Internal Medicine
123 HOSPITAL DR, SUITE 2009
WATERTOWN, WI 53098
Dodge County (920) 262-9833
HEARING CENTER, INC.
Hearing Aid Equipment
123 HOSPITAL DR, STE 112
WATERTOWN, WI 53098
Dodge County (920) 261-7024
WATERTOWN REGIONAL MEDICAL CENTER, INC
Plastic Surgery
123 HOSPITAL DR, STE 2003
WATERTOWN, WI 53098
Dodge County (920) 262-4577
GEORGE ANDREW BOUSH M.D.
Ophthalmology
123 HOSPITAL DR, SUITE 1002
WATERTOWN, WI 53098
Dodge County (920) 261-8225
DR. TERRY MARK ROMAN D.O.
Orthopaedic Surgery (Sports Medicine)
123 HOSPITAL DR, SUITE 1008
WATERTOWN, WI 53098
Dodge County (920) 206-6500
WATERTOWN REGIONAL MEDICAL CENTER, INC
Ophthalmology
123 HOSPITAL DR, SUITE 1002
WATERTOWN, WI 53098
Dodge County (920) 261-8225
DEBORAH PACEY P.A.-C
Physician Assistant
123 HOSPITAL DR, SUITE 1008
WATERTOWN, WI 53098
Dodge County (920) 206-6500

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 Lexi Derry's NPI number?

The NPI number for Lexi Derry is 1063709491. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Lexi Derry located?

Lexi Derry practices at 123 Hospital Dr, Watertown, WI 53098. The listed phone number is (202) 618-2259.

What is Lexi Derry's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lexi Derry enrolled in Medicare?

Yes. Lexi Derry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lexi Derry accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource (Common Ground Healthcare) and 5 other insurers list Lexi Derry 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.

Is Lexi Derry affiliated with any hospitals?

According to CMS data, Lexi Derry is affiliated with Watertown Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lexi Derry was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.