DR. DEREK JOHN BONACCI O.D.
NPI 1356572804
Optometrist in Saint Cloud, MN

Active since July 31, 2009PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
2055 15TH ST N, SAINT CLOUD, MN 56303(320) 251-1432(320) 251-7122 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 15, 2018, Mar 8, 2018 (2 updates tracked since 2018).

About Dr. Derek John Bonacci O.d. NPPES

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

DR. DEREK JOHN BONACCI O.D. (NPI 1356572804) is an individual optometrist in Saint Cloud, Minnesota, licensed in Minnesota (3170) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1356572804
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DEREK JOHN BONACCICredential: O.D.
Location Address2055 15TH ST NSaint Cloud, MN 56303-1747
Mailing Address2055 15th St NSaint Cloud, MN 56303-1747 · (320) 251-1432 · Fax (320) 251-7122
Fax(320) 251-7122
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 31, 2009
Last NPPES UpdateMarch 15, 20182 updates tracked since enumeration
NPI 1356572804 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 MN · 3170
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.

2055 15TH ST N, Saint Cloud, MN 56303

Accepted 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 John Bonacci 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 ID2062558869
PECOS Enrollment IDI20091008000395
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 11

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.
294 services294 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.
153 services111 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.
60 services59 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.
50 services48 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).
49 services47 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.
40 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost65.16

Other Providers at the Same Location NPPES 8

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

Ophthalmology (Cornea and External Diseases Specialist)
2055 15TH ST N
SAINT CLOUD, MN 56303
Ophthalmology
2055 15TH ST N
SAINT CLOUD, MN 56303
Ophthalmology
2055 15TH ST N
SAINT CLOUD, MN 56303
Optometrist
2055 15TH ST N
SAINT CLOUD, MN 56303
Eyewear Supplier
2055 15TH ST N
SAINT CLOUD, MN 56303
Clinic/Center (Ambulatory Surgical)
2055 15TH ST N, SUITE B
SAINT CLOUD, MN 56303
Ophthalmology
2055 15TH ST N
SAINT CLOUD, MN 56303
Ophthalmology
2055 15TH ST N
SAINT CLOUD, MN 56303

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 Bonacci's NPI number?

The NPI number for Derek Bonacci is 1356572804. It was assigned to this individual provider in the NPPES registry on July 31, 2009.

Where is Derek Bonacci located?

Derek Bonacci practices at 2055 15th St N, Saint Cloud, MN 56303. The listed phone number is (320) 251-1432.

What is Derek Bonacci's specialty?

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

Is Derek Bonacci enrolled in Medicare?

Yes. Derek Bonacci 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 Bonacci accept?

Health plans from HealthPartners and Medica list Derek Bonacci 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 Bonacci was last updated on March 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.