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DR. DEREK J PYLE OD
NPI 1285690495
Optometrist in East Stroudsburg, PA

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
300 PLAZA COURT, SUITE A, EAST STROUDSBURG, PA 18301(570) 421-8842(570) 476-5842 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Derek J Pyle Od NPPES

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

DR. DEREK J PYLE OD (NPI 1285690495) is an individual optometrist in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (OEG001518) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2004).

NPPES Registry Identity

NPI1285690495
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DEREK J PYLECredential: OD
Location Address300 PLAZA COURT, SUITE AEast Stroudsburg, PA 18301-8260
Mailing Address300 Plaza Court, Suite AEast Stroudsburg, PA 18301-8260 · (570) 421-8842 · Fax (570) 476-5842
Phone(570) 421-8842
Fax(570) 476-5842
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2004
Enumeration DateApril 25, 2006
Last NPPES UpdateSeptember 12, 2013
✔ NPI 1285690495 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 PA · OEG001518
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.
300 PLAZA COURT, East Stroudsburg, PA 18301
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Other Identifiers 3

Medicare ID-Type Unspecified087081F88
Medicaid1014751900001PA
Medicare UPINV03206

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Dr. Derek J Pyle Od 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 ID7315996782
PECOS Enrollment IDI20050113000104
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 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.
232 services227 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.
193 services134 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.
58 services57 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).
57 services57 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.
28 services28 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.
24 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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

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 Pyle's NPI number?

The NPI number for Derek Pyle is 1285690495. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Derek Pyle located?

Derek Pyle practices at 300 Plaza Court Suite A, East Stroudsburg, PA 18301. The listed phone number is (570) 421-8842.

What is Derek Pyle's specialty?

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

Is Derek Pyle enrolled in Medicare?

Yes. Derek Pyle 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 Pyle accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Derek Pyle 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 Pyle was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.