DR. ANDREA DEPOUTOT OD
NPI 1366133555
Optometrist in Warwick, RI

Q: What is Andrea Depoutot's NPI number?

The NPI number for Andrea Depoutot is 1366133555. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Q: What is Andrea Depoutot's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Depoutot was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since May 17, 2023PECOS EnrolledAccepts Medicare Assignment

566 TOLL GATE RD, WARWICK, RI 02886(860) 331-0464 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2023, May 17, 2023 (2 updates tracked since 2023).

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About Dr. Andrea Depoutot Od NPPES

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

DR. ANDREA DEPOUTOT OD (NPI 1366133555) is an individual optometrist in Warwick, Rhode Island, licensed in Rhode Island (ODTG00761) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1366133555

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. ANDREA DEPOUTOTCredential: OD

Location Address566 TOLL GATE RDWarwick, RI 02886-2716

Mailing Address566 Toll Gate RdWarwick, RI 02886-2716

Phone(860) 331-0464

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 17, 2023

Last NPPES UpdateNovember 26, 20242 updates tracked since enumeration

NPPES CertifiedNovember 26, 2024

✔ NPI 1366133555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in RI · ODTG00761✔ Licensed in CT · 3297

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

566 TOLL GATE RD, Warwick, RI 02886

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Accepted Insurance

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

Dr. Andrea Depoutot 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 ID446791511

PECOS Enrollment IDI20240917004075

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.

Medicare Billing Reassignments

Medicare enrollment records show Andrea Depoutot reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Koch Eye Associates LLP

Same address

Ophthalmology

566 TOLLGATE ROAD
Warwick, RI 02886

Reassigned Medicare billing, Rhode Island enrollment
35 clinicians in this Medicare group

NPI 1194881961 (401) 738-4800

Eye Health Associates Of Rhode Island Inc

16 mi

Ophthalmology

73 VALLEY RD
Middletown, RI 02842

Reassigned Medicare billing, Rhode Island enrollment
28 clinicians in this Medicare group

NPI 1124370176 (401) 845-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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.

Other Providers at the Same Location NPPES 20

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

DR. LEAH LYNN KAMMERDIENER M.D.

Ophthalmology