DR. NICOLE DYAN VERACHTERT (O.D.) – Optometrist, NPI 1073560108

DR. NICOLE DYAN VERACHTERT (O.D.) is a healthcare provider. based in Parkville, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. T03469 (MO). The NPI Number for DR. NICOLE DYAN VERACHTERT (O.D.) is 1073560108

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE DYAN VERACHTERT (O.D.)
NPI
1073560108
Phone
(816) 880-0242
Address
6420 NW FOREST CT
Enumeration Date
26 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8165050100
Graduation Year
1998 (28 years ago)
PAC ID
5597730424
Group Practice PAC ID
3476528845
Professional Enrollment ID
I20040901001390
Address ID
MO641524505PA6325XDRXX301
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

863 OPTOMETRY in MO

Provider Addresses for DR. NICOLE DYAN VERACHTERT (O.D.)

  • 6420 NW FOREST CT

    PARKVILLE, MO 641523139

    Phone: (816) 880-0242

    Type: Mailing

  • 6325 LEWIS DR

    SUITE 114

    PARKVILLE, MO 641523699

    Phone: (816) 505-0100

    Fax: (816) 505-2301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $242.

Total Amount is formed as General ($242) + Research ($0) + Ownership ($0) = $242.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($110).

Total Amount

$242

General + Research + Ownership

Payments

7

Total payment records

General Amount

$242

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2004-09-01

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
I20040901001390IOptometryMOTBD

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
92014Established patient complete exam of visual system5756$0
66984Removal of cataract with insertion of prosthetic lens2014$0
92012Established patient problem focused exam of visual system1816$0
92004New patient complete exam of visual system1616$0
92134Imaging of retina1111$0
View full utilization report →

Insurance plans in this area (ZIP 64152)

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Provider's Procedures

DR. NICOLE DYAN VERACHTERT (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMO92012Eye and medical examination for diagnosis and treatment, established patient1911

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: 3476528845View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO

Reviews

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Frequently asked questions

Is there an official ID for DR. NICOLE DYAN VERACHTERT (O.D.) in U.S. healthcare records?
The official identifier for DR. NICOLE DYAN VERACHTERT (O.D.) is NPI 1073560108.
Is DR. NICOLE DYAN VERACHTERT (O.D.) shown as active in public data?
Registry records indicate DR. NICOLE DYAN VERACHTERT (O.D.) maintains an active NPI.
How would a patient describe DR. NICOLE DYAN VERACHTERT (O.D.)'s focus?
For DR. NICOLE DYAN VERACHTERT (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. NICOLE DYAN VERACHTERT (O.D.)?
Travel planning: use Parkville, Missouri as the reference point for DR. NICOLE DYAN VERACHTERT (O.D.), then confirm.
Can I trust this NPI listing for DR. NICOLE DYAN VERACHTERT (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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