ELISE DEBRULER AGOSTINELLI (OD) – Optometrist, NPI 1013528579

ELISE DEBRULER AGOSTINELLI (OD) is a healthcare provider. based in Birmingham, Alabama. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. S-E53-TA-B84 (AL). The NPI Number for ELISE DEBRULER AGOSTINELLI (OD) is 1013528579

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ELISE DEBRULER AGOSTINELLI (OD)
NPI
1013528579
Phone
(205) 488-0736
Address
1720 UNIVERSITY BLVD
Enumeration Date
10 August 2020
Last Update Date
28 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2057319050
Graduation Year
2020 (6 years ago)
PAC ID
5294151114
Group Practice PAC ID
3779487970
Professional Enrollment ID
I20200821001580
Address ID
AL352331816BI1720XBLVD300

Contacts

Secure Messaging
edebruler@uabmc.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

619 OPTOMETRY in AL

Provider Addresses for ELISE DEBRULER AGOSTINELLI (OD)

  • 1720 UNIVERSITY BLVD

    BIRMINGHAM, AL 352331816

    Phone: (205) 488-0736

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $218.

Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.

Last reported payment date: 2023-02-08 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($115).

Total Amount

$218

General + Research + Ownership

Payments

2

Total payment records

General Amount

$218

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200821001580IOptometryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes3030$0
99205New patient office or other outpatient visit, 60-74 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 35233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779487970View full group profile
NameSpecialtyState
Infectious DiseaseAL
O P T O M E T R YAL
-AL
Infectious Disease, Internal Medicine, Internal Medicine, Pediatric MedicineAL
-AL
Psychiatry, Geriatric PsychiatryAL
-AL
Infectious Disease, Internal MedicineAL
O P T O M E T R YAL
Family PracticeAL

Reviews

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Frequently asked questions

What is the registry number for ELISE DEBRULER AGOSTINELLI (OD)?
The registry entry for ELISE DEBRULER AGOSTINELLI (OD) shows NPI 1013528579.
Quick check: is ELISE DEBRULER AGOSTINELLI (OD) active?
Public NPPES data shows ELISE DEBRULER AGOSTINELLI (OD) with an active NPI status right now.
What services align with ELISE DEBRULER AGOSTINELLI (OD)'s listing?
ELISE DEBRULER AGOSTINELLI (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Is ELISE DEBRULER AGOSTINELLI (OD) tied to Birmingham, Alabama?
If you are local to Birmingham, Alabama, ELISE DEBRULER AGOSTINELLI (OD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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