DR. JERSON DESIDERIO O.D.
NPI 1770023434
Optometrist in Houston, TX

Q: What is Jerson Desiderio's NPI number?

The NPI number for Jerson Desiderio is 1770023434. It was assigned to this individual provider in the NPPES registry on February 28, 2017.

Q: What is Jerson Desiderio'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 Jerson Desiderio was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 February 28, 2017PECOS EnrolledAccepts Medicare Assignment

3811 LYONS AVE, HOUSTON, TX 77020(832) 548-5000 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 17, 2017, Feb 28, 2017 (2 updates tracked since 2017).

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About Dr. Jerson Desiderio O.d. NPPES

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

DR. JERSON DESIDERIO O.D. (NPI 1770023434) is an individual optometrist in Houston, Texas, licensed in Texas (8866T) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1770023434

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JERSON DESIDERIOCredential: O.D.

Location Address3811 LYONS AVEHouston, TX 77020-8306

Mailing AddressPo Box 66308Houston, TX 77266-6308

Phone(832) 548-5000

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 28, 2017

Last NPPES UpdateOctober 17, 20172 updates tracked since enumeration

✔ NPI 1770023434 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 TX · 8866T

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.

3811 LYONS AVE, Houston, TX 77020

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Secondary Practice Location 1

Location 16815 Southwest FwyHouston, TX 77074-2103 · Phone (713) 952-3937

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Jerson Desiderio 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 ID2062788482

PECOS Enrollment IDI20171030001189

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 Reassignment

Medicare enrollment records show Jerson Desiderio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Community Health Services, Inc

4.3 mi

Federally Qualified Health Center (FQHC)

1415 CALIFORNIA ST
Houston, TX 77006

Reassigned Medicare billing, Texas enrollment
402 clinicians in this Medicare group

NPI 1679524961 (832) 548-5000

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 77020 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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.

MEGANNE RENEE DUKE LCSW, LCDCI

Social Worker (Clinical)