MRS. BRITTANY RAE DISTERHEFT (OD) – Optometrist, NPI 1760906135
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,126 OPTOMETRY in IN
Provider Addresses for MRS. BRITTANY RAE DISTERHEFT (OD)
2023 DORCHESTER LN UNIT 1
SCHERERVILLE, IN 463752640
Phone:
Type: Mailing
13115 WICKER AVE STE E
CEDAR LAKE, IN 463037400
Phone: (219) 374-7800
Fax: (219) 374-5196
Type: Location
17119, South Centerline Road, Rudyard Township, Chippewa County, Michigan, 49780, United States
RUDYARD, MI 497809339
Phone:
Type: Mailing
Lake Avenue, Fort Wayne, Allen County, Indiana, 46815, United States
FORT WAYNE, IN 468055100
Phone: (260) 460-1442
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $51.
Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.
Last reported payment date: 2023-04-01 • Largest payer in this snapshot: ABBVIE INC. ($51).
Total Amount
$51
General + Research + Ownership
Payments
2
Total payment records
General Amount
$51
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $51 |
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: 2018-07-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180703001238 | I | Optometry | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 76 | 61 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 28 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $0 |
| 92083 | Exam of visual field with extended testing | 14 | 14 | $0 |
| 92133 | Imaging of optic nerve | 12 | 12 | $0 |
Insurance plans in this area (ZIP 46375)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL |
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