RODNEY L. IMMERMAN (O.D.) – Optometrist, NPI 1528055068

RODNEY L. IMMERMAN (O.D.) is a healthcare provider. based in Fairhaven, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3103 (MA). The NPI Number for RODNEY L. IMMERMAN (O.D.) is 1528055068

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
RODNEY L. IMMERMAN (O.D.)
NPI
1528055068
Phone
(617) 698-6700
Address
13 FORT ST
Enumeration Date
30 September 2005
Last Update Date
28 April 2017

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
77432030404215
Graduation Year
1982 (44 years ago)
PAC ID
1052302387
Group Practice PAC ID
0244482883
Professional Enrollment ID
I20040524001014
Address ID
MA027473319DA51XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

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Provider Addresses for RODNEY L. IMMERMAN (O.D.)

  • 13, Fort Street, Harbor View, Fairhaven, Bristol County, Massachusetts, 02719, United States

    FAIRHAVEN, MA 027192757

    Phone: (617) 698-6700

    Type: Mailing

  • 1900 Crown Colony, 1900, Crown Colony Drive, Crown Colony Office Park, Quincy, Norfolk County, Massachusetts, 02269, United States

    SUITE 301

    QUINCY, MA 021690979

    Phone: (617) 698-6700

    Fax: (617) 698-5123

    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 $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2024-04-06 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($105).

Total Amount

$124

General + Research + Ownership

Payments

2

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-06

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: 2004-05-24

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
I20040524001014IOptometryMATBD

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 minutes212202$0
99203New patient office or other outpatient visit, 30-44 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 02719)

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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: 0244482883View full group profile
NameSpecialtyState
Ophthalmology, Plastic And Reconstructive SurgeryMA
O P T O M E T R YMA
O P H T H A L M O L O G YRI
O P T O M E T R YMA
O P T O M E T R YMA
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YMA
O P T O M E T R YVA
O P T O M E T R YMA

Reviews

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Frequently asked questions

How do I look up RODNEY L. IMMERMAN (O.D.) by NPI?
Use NPI 1528055068 when you need to reference RODNEY L. IMMERMAN (O.D.) in forms, claims, or directories.
Is RODNEY L. IMMERMAN (O.D.) active in the national directory?
RODNEY L. IMMERMAN (O.D.)'s public NPI profile is in an active state.
What field does RODNEY L. IMMERMAN (O.D.) work in?
You can think of RODNEY L. IMMERMAN (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Does RODNEY L. IMMERMAN (O.D.) practice in Massachusetts?
You will see Fairhaven, Massachusetts on file for RODNEY L. IMMERMAN (O.D.) alongside any extra practice locations.
How can I contact RODNEY L. IMMERMAN (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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