MRS. GENA WORLEY DECKELBAUM (O.D.) – Optometrist, NPI 1982628897

MRS. GENA WORLEY DECKELBAUM (O.D.) is a healthcare provider. based in Lauderhill, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1093 (NH). The NPI Number for MRS. GENA WORLEY DECKELBAUM (O.D.) is 1982628897

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. GENA WORLEY DECKELBAUM (O.D.)
NPI
1982628897
Phone
(954) 641-3777
Address
1375 N STATE ROAD 7 STE I
Enumeration Date
26 July 2006
Last Update Date
12 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6032242020
Graduation Year
2004 (22 years ago)
PAC ID
8325008584
Group Practice PAC ID
0547250920
Professional Enrollment ID
I20240217000234
Address ID
NH033013549CO2XXXXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

Provider Addresses for MRS. GENA WORLEY DECKELBAUM (O.D.)

  • 1375 N STATE ROAD 7 STE I

    LAUDERHILL, FL 333135837

    Phone: (954) 641-3777

    Fax: (954) 792-9710

    Type: Location

  • 19421 SHERIDAN ST

    FORT LAUDERDALE, FL 333321653

    Phone: (954) 621-1321

    Fax: (954) 213-6266

    Type: Location

  • 19421 Sheridan St

    Fort Lauderdale, FL 333321653

    Phone: (954) 621-1321

    Fax: (954) 213-6266

    Type: Location

  • 2 PILLSBURY ST STE 100

    CONCORD, NH 033013549

    Phone: (603) 224-2020

    Type: Location

  • 1425, Central Avenue, Town of Colonie, Albany County, New York, 12205, United States

    ALBANY, NY 12205

    Phone: (518) 454-3243

    Fax: (518) 435-9815

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $173.

Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Horizon Therapeutics plc ($106).

Total Amount

$173

General + Research + Ownership

Payments

4

Total payment records

General Amount

$173

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2024-02-17

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
I20240217000234IOptometryNHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33313)

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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: 0547250920View full group profile
NameSpecialtyState
-NH
O P H T H A L M O L O G YOH
-NH
O P H T H A L M O L O G YNH
O P H T H A L M O L O G YNH
O P H T H A L M O L O G YNH
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YNH
O P H T H A L M O L O G YNH
O P H T H A L M O L O G YCT

Reviews

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Frequently asked questions

How do payers reference MRS. GENA WORLEY DECKELBAUM (O.D.)?
For MRS. GENA WORLEY DECKELBAUM (O.D.), use NPI 1982628897 as the unique 10-digit identifier.
Is there an active status for MRS. GENA WORLEY DECKELBAUM (O.D.)?
For scheduling context, MRS. GENA WORLEY DECKELBAUM (O.D.) is shown as active in the registry.
What clinical focus is listed for MRS. GENA WORLEY DECKELBAUM (O.D.)?
At a glance, MRS. GENA WORLEY DECKELBAUM (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is MRS. GENA WORLEY DECKELBAUM (O.D.) located near Lauderhill?
MRS. GENA WORLEY DECKELBAUM (O.D.) currently maps to Lauderhill, Florida in this extract.
Can I trust this NPI listing for MRS. GENA WORLEY DECKELBAUM (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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