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DR. VINCENT A DEROSA M.D.
NPI 1629395496
Ophthalmology in Jamestown, NY

Active since May 03, 2010PECOS Enrolled
2652 WIDDY BOSTWICK LANE, JAMESTOWN, NY 14701(716) 483-0355 Get Directions Write a Review

NPPES record last updated: May 3, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Vincent A Derosa M.d. NPPES

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

DR. VINCENT A DEROSA M.D. (NPI 1629395496) is an individual ophthalmology provider in Jamestown, New York, licensed in New York (116552) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629395496
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. VINCENT A DEROSACredential: M.D.
Location Address2652 WIDDY BOSTWICK LANEJamestown, NY 14701-9111
Mailing Address2652 Widdy Bostick RdJamestown, NY 14701-9111 · (716) 483-0355
Phone(716) 483-0355
Sole ProprietorYes
Enumeration DateMay 3, 2010
✔ NPI 1629395496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 116552
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2652 WIDDY BOSTWICK LANE, Jamestown, NY 14701
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Other Identifiers 1

Medicare PIN35011BNY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vincent A Derosa M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14701 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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 Vincent Derosa's NPI number?

The NPI number for Vincent Derosa is 1629395496. It was assigned to this individual provider in the NPPES registry on May 3, 2010.

Where is Vincent Derosa located?

Vincent Derosa practices at 2652 Widdy Bostwick Lane, Jamestown, NY 14701. The listed phone number is (716) 483-0355.

What is Vincent Derosa's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Vincent Derosa enrolled in Medicare?

Yes. Vincent Derosa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vincent Derosa was last updated on May 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.