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DR. DARYL G CUSTRED O.D.
NPI 1215047097
Optometrist in Jasper, AL

Active since August 30, 2006PECOS Enrolled
1499 N AIRPORT RD, JASPER, AL 35504(205) 221-3721(205) 221-2748 Get Directions Write a Review

NPPES record last updated: November 11, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Daryl G Custred O.d. NPPES

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

DR. DARYL G CUSTRED O.D. (NPI 1215047097) is an individual optometrist in Jasper, Alabama, licensed in Alabama (S-505-TA-126) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215047097
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DARYL G CUSTREDCredential: O.D.
Location Address1499 N AIRPORT RDJasper, AL 35504-8882
Mailing Address1499 N Airport RdJasper, AL 35504-8882 · (205) 221-3721 · Fax (205) 221-2748
Phone(205) 221-3721
Fax(205) 221-2748
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 11, 2010
✔ NPI 1215047097 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 AL · S-505-TA-126
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.
1499 N AIRPORT RD, Jasper, AL 35504
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Other Identifiers 6

Medicare UPINT68999AL
Medicare PIN510I410031AL
Other051546600AL · Bcbs Of Al
Other103022AL · Alabama Medicaid
Other0555770001Medicare Nsc
Medicaid000059727AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daryl G Custred 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.

Medicare Billing Reassignment

Medicare enrollment records show Daryl Custred reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Daryl G. Custred, O.D., L.L.C.
0.3 mi
Optometrist
1499 N AIRPORT RD
Jasper, AL 35504
  • Reassigned Medicare billing, Alabama enrollment
NPI 1891972352 (205) 221-3721

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 4

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 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.
255 services215 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
67 services59 patients
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.
36 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35504 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

DARYL G. CUSTRED, O.D., L.L.C.
Optometrist
1499 N AIRPORT RD
JASPER, AL 35504
Walker County (205) 221-3721

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 Daryl Custred's NPI number?

The NPI number for Daryl Custred is 1215047097. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Daryl Custred located?

Daryl Custred practices at 1499 N Airport Rd, Jasper, AL 35504. The listed phone number is (205) 221-3721.

What is Daryl Custred's specialty?

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

Is Daryl Custred enrolled in Medicare?

Yes. Daryl Custred is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daryl Custred's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daryl Custred reassigns Medicare benefits to Daryl G. Custred, O.D., L.L.C. (Jasper, AL). 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 Daryl Custred's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Daryl Custred was last updated on November 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.