RENATA B. RAEDER O.D.
NPI 1699857003
Optometrist in Sterling, VA

Q: What is Renata Raeder's NPI number?

The NPI number for Renata Raeder is 1699857003. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Renata Raeder'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 Renata Raeder was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 19, 2006PECOS Enrolled

21475 RIDGETOP CIRCLE SUITE 300, STERLING, VA 20166(703) 430-4400(703) 430-4130 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Renata B. Raeder O.d. NPPES

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

RENATA B. RAEDER O.D. (NPI 1699857003) is an individual optometrist in Sterling, Virginia, licensed in Virginia (0618000741) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699857003

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameRENATA B. RAEDERCredential: O.D.

Location Address21475 RIDGETOP CIRCLE SUITE 300Sterling, VA 20166-8580

Mailing Address224 D Cornwall Street Nw, Ste 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643

Phone(703) 430-4400

Fax(703) 430-4130

Sole ProprietorNo

Enumeration DateOctober 19, 2006

Last NPPES UpdateApril 9, 2024

NPPES CertifiedApril 9, 2024

✔ NPI 1699857003 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 VA · 0618000741

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.

21475 RIDGETOP CIRCLE SUITE 300, Sterling, VA 20166

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Other Identifiers 6

Medicaid1699857003VA

Medicaid1651005-03MD

Medicaid30015392870001VA

Medicaid1651005-01MD

Medicaid1651005-00MD

Medicaid1651005-02MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renata B. Raeder O.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.

Medicare Billing Reassignments

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

Loudoun Medical Group, PC

Same address

Obstetrics & Gynecology

21475 RIDGETOP CIRCLE, SUITE 210
Sterling, VA 20166

Reassigned Medicare billing, Virginia and District of Columbia enrollments
Also billed through NPI 1043334410 (District of Columbia)
291 clinicians in this Medicare group

NPI 1518081033 (703) 858-2811

Northern Virginia Vision Center, Inc.

Same address

Optometrist

21475 RIDGETOP CIRCLE, SUITE 300
Sterling, VA 20166

Reassigned Medicare billing, Virginia enrollment
12 clinicians in this Medicare group

NPI 1710069950 (703) 430-4400

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 20166 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 6

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

RUSSELL B. PEARLMAN O.D.

Optometrist