DR. DERRICK ALLYN PIERCE (O.D.) – Optometrist, NPI 1992997969

DR. DERRICK ALLYN PIERCE (O.D.) is a healthcare provider. based in Bentonville, Arkansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2598 (AR). The NPI Number for DR. DERRICK ALLYN PIERCE (O.D.) is 1992997969

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. DERRICK ALLYN PIERCE (O.D.)
NPI
1992997969
Phone
(479) 268-3268
Address
2300 SE J ST
Enumeration Date
14 August 2007
Last Update Date
31 January 2026

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4792683268
Graduation Year
2007 (19 years ago)
PAC ID
4789860495
Group Practice PAC ID
3476899030
Professional Enrollment ID
I20110513000549
Address ID
AR727123776BE2300XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

422 OPTOMETRY in AR

Provider Addresses for DR. DERRICK ALLYN PIERCE (O.D.)

  • 2300 SE J ST

    BENTONVILLE, AR 727123776

    Phone: (479) 268-3268

    Fax: (479) 268-3268

    Type: Mailing

  • 5001 W Pauline Whitaker Pkwy Ste 125

    Rogers, AR 727587345

    Phone: (479) 469-2023

    Fax: (479) 469-2013

    Type: Location

  • Southeast Walton Boulevard, Bentonville, Benton County, Arkansas, 72712, United States

    BENTONVILLE, AR 727125398

    Phone: (479) 268-3268

    Fax: (479) 268-3268

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $1,437.

Total Amount is formed as General ($1,437) + Research ($0) + Ownership ($0) = $1,437.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($745).

Total Amount

$1,437

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,437

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2011-05-13

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
I20110513000549IOptometryARTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6454$0
92250Photography of the retina2422$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 72712)

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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: 3476899030View full group profile
NameSpecialtyState
O P T O M E T R YAR
O P T O M E T R YAR
O P T O M E T R YAR
O P T O M E T R YAR

Reviews

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Frequently asked questions

How do I look up DR. DERRICK ALLYN PIERCE (O.D.) by NPI?
Use NPI 1992997969 when you need to reference DR. DERRICK ALLYN PIERCE (O.D.) in forms, claims, or directories.
Does this profile mean DR. DERRICK ALLYN PIERCE (O.D.) is currently active?
Yes — DR. DERRICK ALLYN PIERCE (O.D.) appears active in the national provider directory.
What kind of provider is DR. DERRICK ALLYN PIERCE (O.D.)?
The page reflects Optometrist for DR. DERRICK ALLYN PIERCE (O.D.). Clinical services aligned with this taxonomy classification.
Does DR. DERRICK ALLYN PIERCE (O.D.) practice in Arkansas?
You will see Bentonville, Arkansas on file for DR. DERRICK ALLYN PIERCE (O.D.) alongside any extra practice locations.
Is DR. DERRICK ALLYN PIERCE (O.D.) a real provider?
This page reflects official NPPES data for NPI 1992997969. Always confirm identity and privileges with the practice and licensing boards.

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