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DEREK PAUL VOGELPOHL O.D.
NPI 1073951612
Optometrist in Fort Madison, IA

Active since June 05, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1001 AVENUE H STE 2, FORT MADISON, IA 52627(319) 316-6016(319) 669-8335 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2021, Feb 22, 2018 (2 updates tracked since 2018).

About Derek Paul Vogelpohl O.d. NPPES

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

DEREK PAUL VOGELPOHL O.D. (NPI 1073951612) is an individual optometrist in Fort Madison, Iowa, licensed in Iowa (002587) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2013).

NPPES Registry Identity

NPI1073951612
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDEREK PAUL VOGELPOHLCredential: O.D.
Location Address1001 AVENUE H STE 2Fort Madison, IA 52627-4559
Mailing Address1001 Avenue H Ste 2Fort Madison, IA 52627-4559 · (319) 316-6016 · Fax (319) 669-8335
Phone(319) 316-6016
Fax(319) 669-8335
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2013
Enumeration DateJune 5, 2013
Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1073951612 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 IA · 002587✔ Licensed in IL · 046010660
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.
1001 AVENUE H STE 2, Fort Madison, IA 52627
Open in Google Maps ↗

Other Identifiers 1

Medicaid1073951612IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derek Paul Vogelpohl 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 ID1658513114
PECOS Enrollment IDI20130813000185
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Derek Vogelpohl reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clear View Vision Center, LLC
Same address
Optometrist
1001 AVENUE H STE 2
Fort Madison, IA 52627
  • Reassigned Medicare billing, Iowa enrollment
NPI 1508489824 (773) 329-3253
International Eyecare Center LLC
48 mi
Optometrist
2445 BROADWAY ST
Quincy, IL 62301
  • Reassigned Medicare billing, Iowa enrollment
  • 7 clinicians in this Medicare group
NPI 1760405047 (217) 222-9207

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
583 services582 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
307 services213 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).
210 services133 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
204 services127 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.
179 services134 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.
99 services99 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52627 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
94%65 patients5/55-star benchmark: 87%
Diabetes: Eye Exam
99%254 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
100%29 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,834 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
98%62 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 902 patients
Patients totalRate: 0% · 902 patients
0%902 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier19 claims19 services$55.12 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier16 claims28 services$49.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

CLEAR VIEW VISION CENTER, LLC
Optometrist
1001 AVENUE H STE 2
FORT MADISON, IA 52627
Lee County (773) 329-3253

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 Derek Vogelpohl's NPI number?

The NPI number for Derek Vogelpohl is 1073951612. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Derek Vogelpohl located?

Derek Vogelpohl practices at 1001 Avenue H Ste 2, Fort Madison, IA 52627. The listed phone number is (319) 316-6016.

What is Derek Vogelpohl's specialty?

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

Is Derek Vogelpohl enrolled in Medicare?

Yes. Derek Vogelpohl 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.

Which organizations bill Medicare for Derek Vogelpohl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Vogelpohl reassigns Medicare benefits to 2 organizations: Clear View Vision Center, LLC (Fort Madison, IA) and International Eyecare Center LLC (Quincy, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Vogelpohl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Vogelpohl accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 13 other insurers list Derek Vogelpohl 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 Derek Vogelpohl was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.