PHILLIP DEMOTT (OD) – Ophthalmology Physician, NPI 1104412790

PHILLIP DEMOTT (OD) is a healthcare provider. based in Seaford, Delaware. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. I3-0011428 (DE). The NPI Number for PHILLIP DEMOTT (OD) is 1104412790

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP DEMOTT (OD)
NPI
1104412790
Phone
(302) 629-6691
Address
8500 HERRING RUN RD
Enumeration Date
17 December 2020
Last Update Date
17 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3026296691
Graduation Year
2018 (8 years ago)
PAC ID
2163834771
Professional Enrollment ID
I20201223000541
Address ID
DE199735795SE8500XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

140 OPTOMETRY in DE

Provider Addresses for PHILLIP DEMOTT (OD)

  • 8500 HERRING RUN RD

    SEAFORD, DE 199735795

    Phone: (302) 629-6691

    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 7 Open Payments records for all available years, with a total value of $283.

Total Amount is formed as General ($283) + Research ($0) + Ownership ($0) = $283.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: CooperVision Inc. ($125).

Total Amount

$283

General + Research + Ownership

Payments

7

Total payment records

General Amount

$283

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

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: 2020-12-23

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
I20201223000541IOptometryDETBD

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 system491486$0
92250Photography of the retina408388$0
99213Established patient office or other outpatient visit, 20-29 minutes393263$0
92083Exam of visual field with extended testing131117$0
92004New patient complete exam of visual system124124$0
View full utilization report →

Insurance plans in this area (ZIP 19973)

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Reviews

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Frequently asked questions

How do I look up PHILLIP DEMOTT (OD) by NPI?
Use NPI 1104412790 when you need to reference PHILLIP DEMOTT (OD) in forms, claims, or directories.
Is PHILLIP DEMOTT (OD) currently active in the NPI registry?
CMS-published data lists PHILLIP DEMOTT (OD) as an active registrant.
What does PHILLIP DEMOTT (OD) treat or focus on?
Patients typically see PHILLIP DEMOTT (OD) under the specialty Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for PHILLIP DEMOTT (OD)?
The page summarizes Seaford, Delaware for PHILLIP DEMOTT (OD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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