ROSE M BETZ (OD) – Optometrist, NPI 1033250964

ROSE M BETZ (OD) is a healthcare provider. based in Ballwin, Missouri. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. S470TA104 (AL). The NPI Number for ROSE M BETZ (OD) is 1033250964

Main info

Female
45 Years Of Experience
Accepts Medicare Assignment
Name
ROSE M BETZ (OD)
NPI
1033250964
Phone
(636) 200-4393
Address
15933 CLAYTON RD
Enumeration Date
12 February 2007
Last Update Date
15 November 2016

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
2053330016
Graduation Year
1981 (45 years ago)
PAC ID
2567587546
Group Practice PAC ID
0749254001
Professional Enrollment ID
I20100914000879
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ROSE M BETZ (OD)

  • Clayton Road, Ballwin, Saint Louis County, Missouri, 63011, United States

    SUITE 201

    BALLWIN, MO 630112172

    Phone: (636) 200-4393

    Fax: (636) 527-0766

    Type: Mailing

  • 801, Applejack Boulevard, Vestavia Hills, Northport, Tuscaloosa County, Alabama, 35473, United States

    NORTHPORT, AL 354733401

    Phone: (205) 333-0016

    Fax: (205) 339-6751

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $421.

Total Amount is formed as General ($421) + Research ($0) + Ownership ($0) = $421.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($164).

Total Amount

$421

General + Research + Ownership

Payments

5

Total payment records

General Amount

$421

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

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: 2010-09-14

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
I20100914000879IOptometryALTBD

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 63011)

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Provider's Procedures

ROSE M BETZ (OD) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYAL92083Measurement of field of vision during daylight conditions131121
OPTOMETRYAL92134Diagnostic imaging of retina306262

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: 0749254001View full group profile
NameSpecialtyState
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YIL
O P T O M E T R YAL
-AL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YMO
O P T O M E T R YAL

Reviews

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Frequently asked questions

What is the registry number for ROSE M BETZ (OD)?
The registry entry for ROSE M BETZ (OD) shows NPI 1033250964.
Should I treat ROSE M BETZ (OD) as an active provider?
Patients and plans typically see ROSE M BETZ (OD) as active in the national extract.
What does the directory say ROSE M BETZ (OD) does?
Insurance directories may phrase it differently, but here ROSE M BETZ (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to ROSE M BETZ (OD)?
The directory associates ROSE M BETZ (OD) with Ballwin, Missouri. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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