MICHELLE DERHEIMER
NPI 1265873475
Optometrist in Des Peres, MO
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Michelle Derheimer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63131
- Reassigned Medicare billing, Missouri enrollment
- 25 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.
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.
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.
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.
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.
DES PERES, MO 63131
SAINT LOUIS, MO 63131
DES PERES, MO 63131
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.
Which organization bills Medicare for Michelle Derheimer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Derheimer reassigns Medicare benefits to Ophthalmology Consultants, LLC (Saint Louis, MO). 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 Michelle Derheimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michelle Derheimer accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 16 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Michelle Derheimer · NPI 1265873475
Optometrist provider in Des Peres, Missouri. Individual provider, active in the CMS NPPES registry since July 16, 2013.
## Identity
- **NPI:** 1265873475 (Entity type: Individual)
- **Enumerated:** July 16, 2013
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2013025320 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 12990 MANCHESTER RD, SUITE 201, Des Peres, MO 63131-1860
- **Phone:** (314) 909-0633 · **Fax:** (314) 909-0391
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Ophthalmology Consultants, LLC (NPI 1003960980, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 16, 2013
- **Other identifiers:** Other 2013025320 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1265873475) · Data from the CMS NPPES public registry.