TARA LYNN DEROSE (O.D.) – Optometrist, NPI 1992703771

TARA LYNN DEROSE (O.D.) is a healthcare provider. based in Littleton, Colorado. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2489 (CO). The NPI Number for TARA LYNN DEROSE (O.D.) is 1992703771

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
TARA LYNN DEROSE (O.D.)
NPI
1992703771
Phone
(303) 979-4505
Address
7761 SHAFFER PKWY
Enumeration Date
14 July 2005
Last Update Date
12 June 2013

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3039794505
Graduation Year
2005 (21 years ago)
PAC ID
3375577521
Group Practice PAC ID
9739082124
Professional Enrollment ID
I20050927000158
Address ID
CO801273731LI7761XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

Provider Addresses for TARA LYNN DEROSE (O.D.)

  • 7761 SHAFFER PKWY

    STE 200

    LITTLETON, CO 801273728

    Phone: (303) 979-4505

    Fax: (303) 933-0714

    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 12 Open Payments records for all available years, with a total value of $659.

Total Amount is formed as General ($659) + Research ($0) + Ownership ($0) = $659.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($194).

Total Amount

$659

General + Research + Ownership

Payments

12

Total payment records

General Amount

$659

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2005-09-27

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
I20050927000158IOptometryCOTBD

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
92014Established patient complete exam of visual system122122$0
92250Photography of the retina7869$0
99213Established patient office or other outpatient visit, 20-29 minutes5036$0
99214Established patient office or other outpatient visit, 30-39 minutes3933$0
92285Photography of content of eyes3938$0
View full utilization report →

Insurance plans in this area (ZIP 80127)

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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: 9739082124View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO

Reviews

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Frequently asked questions

What is the 10-digit NPI for TARA LYNN DEROSE (O.D.)?
TARA LYNN DEROSE (O.D.) — NPI 1992703771 — is the standard way to identify this listing.
Does CMS list TARA LYNN DEROSE (O.D.) as active?
Yes — TARA LYNN DEROSE (O.D.) is active in the NPI listing used on this page.
What is TARA LYNN DEROSE (O.D.)'s primary classification?
Optometrist is the headline specialty for TARA LYNN DEROSE (O.D.) here. Clinical services aligned with this taxonomy classification.
Does TARA LYNN DEROSE (O.D.) list a practice location?
Patients near Littleton, Colorado may find TARA LYNN DEROSE (O.D.) in results; validate coverage separately.
Is the information about TARA LYNN DEROSE (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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