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GREGORY J DERODES O.D.
NPI 1790876605
Optometrist in Fremont, OH

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
75.56/100
CMS Quality Rating
2311 HAYES AVE, FREMONT, OH 43420(419) 334-8121(419) 332-9351 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gregory J Derodes O.d. NPPES

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

GREGORY J DERODES O.D. (NPI 1790876605) is an individual optometrist in Fremont, Ohio, licensed in Ohio (4347) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1992).

NPPES Registry Identity

NPI1790876605
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameGREGORY J DERODESCredential: O.D.
Location Address2311 HAYES AVEFremont, OH 43420-2634
Mailing Address2311 Hayes AveFremont, OH 43420-2634 · (419) 334-8121 · Fax (419) 332-9351
Phone(419) 334-8121
Fax(419) 332-9351
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1992
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790876605 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 OH · 4347
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.
2311 HAYES AVE, Fremont, OH 43420
Open in Google Maps ↗

Other Identifiers 4

Medicaid0883414OH
Other4347OH · State Lic
Medicare UPINU33817
Medicare ID-Type UnspecifiedDE0723161OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, CareSource, MedMutual and more.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

Gregory J Derodes 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 ID6800951278
PECOS Enrollment IDI20090304000220
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 4

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 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.
482 services316 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.
367 services352 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43420 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

75.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost18.55

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims20 services$40.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

MRS. ALEXZANDRA RUDINOFF ROTH OD
Optometrist
2311 HAYES AVE, SUITE B
FREMONT, OH 43420
Sandusky County (419) 334-8121
JASON R KOLODZIEJCZYK O.D.
Optometrist
2311 HAYES AVE
FREMONT, OH 43420
Sandusky County (419) 334-8121
EYE CENTERS OF NORTHWEST OHIO LLC
Optometrist
2311 HAYES AVE, SUITE B
FREMONT, OH 43420
Sandusky County (419) 334-8121
STACY PASCH RELLINGER OD
Optometrist
2311 HAYES AVE
FREMONT, OH 43420
Sandusky County (419) 334-8121
EYE CENTERS OF NORTHWEST OHIO INC
Eyewear Supplier
2311 HAYES AVE
FREMONT, OH 43420
Sandusky County (419) 334-8121

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 Gregory Derodes's NPI number?

The NPI number for Gregory Derodes is 1790876605. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Gregory Derodes located?

Gregory Derodes practices at 2311 Hayes Ave, Fremont, OH 43420. The listed phone number is (419) 334-8121.

What is Gregory Derodes's specialty?

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

Is Gregory Derodes enrolled in Medicare?

Yes. Gregory Derodes 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 Gregory Derodes accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CareSource, MedMutual and Providence Health Plan list Gregory Derodes 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 Gregory Derodes was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.