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DR. DEREK STURTEVANT O.D.
NPI 1275885519
Optometrist in Florence, MA

Active since October 10, 2012PECOS EnrolledAccepts Medicare Assignment
90.21/100
CMS Quality Rating
40 MAIN ST STE 106, FLORENCE, MA 01062(413) 584-6422(413) 584-4346 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 3, 2020, Feb 21, 2019, Oct 27, 2017 (3 updates tracked since 2017).

About Dr. Derek Sturtevant O.d. NPPES

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

DR. DEREK STURTEVANT O.D. (NPI 1275885519) is an individual optometrist in Florence, Massachusetts, licensed in Massachusetts (5482) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Pacific University - College Of Optometry (2015).

NPPES Registry Identity

NPI1275885519
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DEREK STURTEVANTCredential: O.D.
Location Address40 MAIN ST STE 106Florence, MA 01062-3100
Mailing Address40 Main St Ste 106Florence, MA 01062-3100 · (413) 584-6422 · Fax (413) 584-4346
Phone(413) 584-6422
Fax(413) 584-4346
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2015
Enumeration DateOctober 10, 2012
Last NPPES UpdateAugust 30, 20213 updates tracked since enumeration
NPPES CertifiedAugust 30, 2021
✔ NPI 1275885519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MA · 5482✔ Licensed in WA · OD60567880
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.
40 MAIN ST STE 106, Florence, MA 01062
Open in Google Maps ↗

Secondary Practice Locations 2

Location 117100 State Route 507 SEYelm, WA 98597-7605 · Phone (360) 400-8068 · Fax (360) 400-8070
Location 2100 E WALLACE KNEELAND BLVDSHELTON, WA 98584-2981 · Phone (360) 427-8324 · Fax (360) 427-8326

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Derek Sturtevant 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 ID4981919826
PECOS Enrollment IDI20210902003093
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 7

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.
456 services455 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.
283 services251 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.
94 services94 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
80 services74 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.
65 services62 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).
39 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01062 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

90.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost67.36

Other Providers at the Same Location NPPES 2

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

SHIMING LUO MD
Ophthalmology
40 MAIN ST STE 106
NORTHAMPTON, MA 01062
Hampshire County (413) 584-6422
DR. LACEY PRISCILLA FAUST OD
Optometrist
40 MAIN ST STE 106
FLORENCE, MA 01062
Hampshire County (413) 584-6422

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 Derek Sturtevant's NPI number?

The NPI number for Derek Sturtevant is 1275885519. It was assigned to this individual provider in the NPPES registry on October 10, 2012.

Where is Derek Sturtevant located?

Derek Sturtevant practices at 40 Main St Ste 106, Florence, MA 01062. The listed phone number is (413) 584-6422.

What is Derek Sturtevant's specialty?

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

Is Derek Sturtevant enrolled in Medicare?

Yes. Derek Sturtevant 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 Derek Sturtevant accept?

Health plans from Anthem Blue Cross and Blue Shield list Derek Sturtevant 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 Derek Sturtevant was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.