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DR. DAVID PETER DEROSE OD
NPI 1992814073
Optometrist in Bloomsburg, PA

Active since August 30, 2006PECOS Enrolled
150 W HILLCREST DR, BLOOMSBURG, PA 17815(570) 204-6547(570) 387-9135 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. David Peter Derose Od NPPES

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

DR. DAVID PETER DEROSE OD (NPI 1992814073) is an individual optometrist in Bloomsburg, Pennsylvania, licensed in Pennsylvania (OEG001317) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992814073
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DAVID PETER DEROSECredential: OD
Location Address150 W HILLCREST DRBloomsburg, PA 17815-6710
Mailing Address150 W Hillcrest DrBloomsburg, PA 17815-6710 · (570) 204-6547 · Fax (570) 387-9135
Phone(570) 204-6547
Fax(570) 387-9135
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1992814073 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 PA · OEG001317
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.
150 W HILLCREST DR, Bloomsburg, PA 17815
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Other Identifiers 2

Other27705PA · Geisinger Health Plan #
OtherOEG001317PA · Pa License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Peter Derose Od 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 Reassignment

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

Independence Corporation
54 mi
Optometrist
2274 MACARTHUR RD
Whitehall, PA 18052
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 29 clinicians in this Medicare group
NPI 1972549657 (610) 432-3937

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 17815 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 David Derose's NPI number?

The NPI number for David Derose is 1992814073. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is David Derose located?

David Derose practices at 150 W Hillcrest Dr, Bloomsburg, PA 17815. The listed phone number is (570) 204-6547.

What is David Derose's specialty?

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

Is David Derose enrolled in Medicare?

Yes. David Derose is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Derose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Derose reassigns Medicare benefits to Independence Corporation (Whitehall, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Derose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Derose was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.