DR. DONALD DEAN DERRYBERRY JR. O.D.
NPI 1194722082
Optometrist in Dallas, TX

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
18170 DALLAS PKWY, SUITE 402, DALLAS, TX 75287(972) 931-2020 Get Directions Write a Review

NPPES record last updated: April 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Donald Dean Derryberry Jr. O.d. NPPES

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

DR. DONALD DEAN DERRYBERRY JR. O.D. (NPI 1194722082) is an individual optometrist in Dallas, Texas, licensed in Texas (4584TG) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1991).

NPPES Registry Identity

NPI1194722082
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DONALD DEAN DERRYBERRY JR.Credential: O.D.
Location Address18170 DALLAS PKWY, SUITE 402Dallas, TX 75287-7137
Mailing Address18170 Dallas Pkwy, Suite 402Dallas, TX 75287-7137 · (972) 931-2020
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1991
Enumeration DateJuly 7, 2005
Last NPPES UpdateApril 20, 2009
NPI 1194722082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in TX · 4584TG
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.

18170 DALLAS PKWY, Dallas, TX 75287

Other Identifiers 1

Other8F21032TX · Medicare Ptan Individual

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 and accepts Medicare assignment

Dr. Donald Dean Derryberry Jr. 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 ID4284709585
PECOS Enrollment IDI20090409000466
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.
189 services84 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
174 services89 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
107 services88 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.
99 services87 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
24 services17 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75287 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 3

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

Optometrist
18170 DALLAS PKWY, SUITE 402
DALLAS, TX 75287
Psychiatry & Neurology (Psychiatry)
18170 DALLAS PKWY, SUITE 502
DALLAS, TX 75287
Clinic/Center (Adult Mental Health)
18170 DALLAS PKWY, SUITE 502
DALLAS, TX 75287

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 Donald Derryberry's NPI number?

The NPI number for Donald Derryberry is 1194722082. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Donald Derryberry located?

Donald Derryberry practices at 18170 Dallas Pkwy Suite 402, Dallas, TX 75287. The listed phone number is (972) 931-2020.

What is Donald Derryberry's specialty?

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

Is Donald Derryberry enrolled in Medicare?

Yes. Donald Derryberry 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 Donald Derryberry accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Donald Derryberry 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 Donald Derryberry was last updated on April 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.