TERRY N NULL (OD) – Optometrist, NPI 1114025665

TERRY N NULL (OD) is a healthcare provider. based in Indpls, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18002112A (IN). The NPI Number for TERRY N NULL (OD) is 1114025665

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
TERRY N NULL (OD)
NPI
1114025665
Phone
(317) 890-5548
Address
9650 E WASHINGTON ST
Enumeration Date
20 September 2006
Last Update Date
12 May 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
3178656829
Graduation Year
1983 (43 years ago)
PAC ID
0941246326
Group Practice PAC ID
7517951353
Professional Enrollment ID
I20050707000585
Address ID
IN461439604GR2887XRDXX401
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

1,126 OPTOMETRY in IN

Provider Addresses for TERRY N NULL (OD)

  • 9650 E WASHINGTON ST

    INDPLS, IN 46229

    Phone: (317) 890-5548

    Fax: (317) 890-5620

    Type: Mailing

  • 2887 S State Road 135

    Greenwood, IN 461439604

    Phone: (317) 865-6829

    Fax: (317) 886-7955

    Type: Location

  • 13840 E 96TH ST

    MCCORDSVILLE, IN 460559394

    Phone: (317) 720-2020

    Fax: (317) 458-1594

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,697.

Total Amount is formed as General ($1,697) + Research ($0) + Ownership ($0) = $1,697.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($1,032).

Total Amount

$1,697

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,697

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2005-07-07

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
I20050707000585IOptometryINTBD

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 minutes9675$0
99214Established patient office or other outpatient visit, 30-39 minutes6552$0
83861Microfluid analysis of tears3215$0
92014Established patient complete exam of visual system2323$0
92134Imaging of retina2220$0
View full utilization report →

Insurance plans in this area (ZIP 46229)

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Provider's Procedures

TERRY N NULL (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIN92012Eye and medical examination for diagnosis and treatment, established patient2222
OPTOMETRYIN92083Measurement of field of vision during daylight conditions4236
OPTOMETRYIN92134Diagnostic imaging of retina4138

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: 7517951353View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

What NPI should I save for TERRY N NULL (OD)?
Save NPI 1114025665 if you need a stable reference for TERRY N NULL (OD).
Is TERRY N NULL (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does TERRY N NULL (OD) list a primary specialty?
If you are matching referrals, note Optometrist for TERRY N NULL (OD). Clinical services aligned with this taxonomy classification.
Where is TERRY N NULL (OD)'s primary listing?
We display Indpls, Indiana because that is what the record indicates for TERRY N NULL (OD).
Is TERRY N NULL (OD) a real provider?
This page reflects official NPPES data for NPI 1114025665. Always confirm identity and privileges with the practice and licensing boards.

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