1. Home
  2. Directory
  3. Missouri
  4. Des Peres
  5. Optometrist
  6. NPI Profile

MICHELLE DERHEIMER
NPI 1265873475
Optometrist in Des Peres, MO

Active since July 16, 2013PECOS EnrolledAccepts Medicare Assignment
75.65/100
CMS Quality Rating
12990 MANCHESTER RD, SUITE 201, DES PERES, MO 63131(314) 909-0633(314) 909-0391 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michelle Derheimer NPPES

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

MICHELLE DERHEIMER (NPI 1265873475) is an individual optometrist in Des Peres, Missouri, licensed in Missouri (2013025320) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1265873475
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMICHELLE DERHEIMER
Location Address12990 MANCHESTER RD, SUITE 201Des Peres, MO 63131-1860
Mailing Address12990 Manchester Rd, Suite 201Des Peres, MO 63131-1860 · (314) 909-0633 · Fax (314) 909-0391
Phone(314) 909-0633
Fax(314) 909-0391
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 16, 2013
✔ NPI 1265873475 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 MO · 2013025320
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.
12990 MANCHESTER RD, Des Peres, MO 63131
Open in Google Maps ↗

Other Names 1

Former Name (1)Michelle Fondell O.d.

Other Identifiers 1

Other2013025320MO · Optometric License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Michelle Derheimer 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 ID7719120286
PECOS Enrollment IDI20130830000772
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 8

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 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.
504 services433 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.
85 services78 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.
75 services64 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 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).
48 services48 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.
46 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

75.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.95
Promoting Interoperability89
Improvement Activities40
Cost28.06

Other Providers at the Same Location NPPES 18

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

OPHTHALMOLOGY CONSULTANTS, LLC
Ophthalmology
12990 MANCHESTER RD, SUITE 200
SAINT LOUIS, MO 63131
St. Louis County (314) 966-5000
DOCTORS EYE CLINIC, INC
Ophthalmology
12990 MANCHESTER RD, SUITE 202
ST LOUIS, MO 63131
St. Louis County (314) 432-6137
TARA LYNN WEIRICH CRNA
Nurse Anesthetist, Certified Registered
12990 MANCHESTER RD
DES PERES, MO 63131
St. Louis County (314) 367-1181
JOHN B HOLDS MD
Surgery (Plastic and Reconstructive Surgery)
12990 MANCHESTER RD, STE 102
SAINT LOUIS, MO 63131
St. Louis County (314) 567-3567
ANDREW P ROYER OD
Optometrist
12990 MANCHESTER RD, SUITE 200
SAINT LOUIS, MO 63131
St. Louis County (314) 966-5000
DR. GREGG JONATHAN BERDY M.D.
Ophthalmology
12990 MANCHESTER RD, SUITE 200
SAINT LOUIS, MO 63131
St. Louis County (314) 966-5000
DR. RANJAN PRAKASH MALHOTRA MD
Ophthalmology
12990 MANCHESTER RD, STE 200
SAINT LOUIS, MO 63131
St. Louis County (314) 966-5000
ENDOSCOPY CENTER OF ST. LOUIS, LLC
Clinic/Center (Endoscopy)
12990 MANCHESTER RD, SUITE 1
DES PERES, MO 63131
St. Louis County (314) 984-0550

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 Michelle Derheimer's NPI number?

The NPI number for Michelle Derheimer is 1265873475. It was assigned to this individual provider in the NPPES registry on July 16, 2013. The provider is also known as Michelle Fondell O.D..

Where is Michelle Derheimer located?

Michelle Derheimer practices at 12990 Manchester Rd Suite 201, Des Peres, MO 63131. The listed phone number is (314) 909-0633.

What is Michelle Derheimer's specialty?

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

Is Michelle Derheimer enrolled in Medicare?

Yes. Michelle Derheimer 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 Michelle Derheimer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Michelle Derheimer 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 Michelle Derheimer was last updated on July 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.