JOSEPH L DEROSE (OD) – Optometrist, NPI 1679516595
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
626 OPTOMETRY in MD
Provider Addresses for JOSEPH L DEROSE (OD)
8601 Veterans Hwy
Suite 110
Millersville, MD 211081547
Phone: (410) 975-0090
Fax: (410) 975-0089
Type: Location
920, Providence Road, Eudowood, Towson, Baltimore County, Maryland, 21286, United States
STE 100
TOWSON, MD 212862976
Phone: (703) 847-8899
Fax: (709) 866-7954
Type: Mailing
698, Baltimore Pike, Bel Air, Harford County, Maryland, 21014, United States
BEL AIR, MD 210144264
Phone: (410) 879-0044
Fax: (410) 893-6871
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $183.
Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: CooperVision Inc. ($86).
Total Amount
$183
General + Research + Ownership
Payments
10
Total payment records
General Amount
$183
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $86 |
| Johnson & Johnson Vision Care, Inc. | $51 |
| Alcon Vision LLC | $46 |
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: 2004-09-08
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 |
|---|---|---|---|---|
| I20040908000541 | I | Optometry | MD | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 21108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MD | |
| O P T O M E T R Y | MD | |
| O P H T H A L M O L O G Y | MD | |
| O P T O M E T R Y | MD | |
| O P T O M E T R Y | MD | |
| O P T O M E T R Y | MD | |
| O P T O M E T R Y | MD | |
| O P T O M E T R Y | MD | |
| O P T O M E T R Y | MD | |
| O P T O M E T R Y | MD |
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