DR. DAVID TETRAULT OD
NPI 1114038692
Optometrist in Tucson, AZ
About Dr. David Tetrault Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID TETRAULT OD (NPI 1114038692) is an individual optometrist in Tucson, Arizona, licensed in Arizona (AZ0806) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
Dr. David Tetrault Od 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.
Medicare Billing Reassignment
Medicare enrollment records show David Tetrault reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fountain Hills, AZ 85268
- Reassigned Medicare billing, Arizona enrollment
- 76 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85719 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 David Tetrault's NPI number?
The NPI number for David Tetrault is 1114038692. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is David Tetrault located?
David Tetrault practices at 2894 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 323-3937.
What is David Tetrault's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is David Tetrault enrolled in Medicare?
Yes. David Tetrault 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 organization bills Medicare for David Tetrault's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Tetrault reassigns Medicare benefits to John H Mcdougall Od Arizona PC (Fountain Hills, AZ). The 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 David Tetrault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Tetrault accept?
Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 11 other insurers list David Tetrault 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 David Tetrault was last updated on August 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. David Tetrault, OD · NPI 1114038692
Optometrist provider in Tucson, Arizona. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1114038692 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** AZ0806 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2894 N CAMPBELL AVE, Tucson, AZ 85719-2876
- **Phone:** (520) 323-3937 · **Fax:** (520) 323-3938
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** John H Mcdougall Od Arizona PC (NPI 1851882179, Fountain Hills, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 1990
## Record status
- **NPPES last updated:** August 3, 2010
- **Other identifiers:** Medicare ID-Type Unspecified 29759 (AZ); Medicare UPIN U13503 (AZ); Medicaid 046070 (AZ)
---
Source: [NPI Profile](https://npiprofile.com/npi/1114038692) · Data from the CMS NPPES public registry.