COURTNEY KAY DUBERRY OD
NPI 1821602756
Optometrist in Saint Louis, MO

Active since September 08, 2020PECOS EnrolledAccepts Medicare Assignment
915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 652-4100 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Courtney Kay Duberry Od NPPES

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

COURTNEY KAY DUBERRY OD (NPI 1821602756) is an individual optometrist in Saint Louis, Missouri, licensed in Missouri (2020018357) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2020).

NPPES Registry Identity

NPI1821602756
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCOURTNEY KAY DUBERRYCredential: OD
Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621
Mailing Address12805 Town And Four DrSaint Louis, MO 63141-6222 · (763) 438-6192
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2020
Enumeration DateSeptember 8, 2020
NPPES CertifiedSeptember 8, 2020
NPI 1821602756 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 MO · 2020018357
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.

915 N GRAND BLVD, Saint Louis, MO 63106

Other Names 1

Former Name (1)Courtney Kay Lewis Od

Accepted 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

Courtney Kay Duberry 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 ID3476958463
PECOS Enrollment IDI20220419000697
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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
104 services104 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
31 services28 patients
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.
28 services22 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63106 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106

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 Courtney Duberry's NPI number?

The NPI number for Courtney Duberry is 1821602756. It was assigned to this individual provider in the NPPES registry on September 8, 2020. The provider is also known as Courtney Kay Lewis Od.

Where is Courtney Duberry located?

Courtney Duberry practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.

What is Courtney Duberry's specialty?

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

Is Courtney Duberry enrolled in Medicare?

Yes. Courtney Duberry 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 Courtney Duberry accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Courtney Duberry 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 Courtney Duberry was last updated on September 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.