DONALD J VANDERFELTZ (O. D.) – Optometrist, NPI 1225040249

DONALD J VANDERFELTZ (O. D.) is a healthcare provider. based in California, Missouri. specializing in OPTOMETRY. They hold the professional credentials O. D.. They hold a License No. T02337 (MO). The NPI Number for DONALD J VANDERFELTZ (O. D.) is 1225040249

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DONALD J VANDERFELTZ (O. D.)
NPI
1225040249
Phone
(573) 796-2222
Address
202 E NORTH ST
Enumeration Date
12 August 2006
Last Update Date
20 February 2008

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
5738742030
Graduation Year
1977 (49 years ago)
PAC ID
6507962412
Group Practice PAC ID
2769574714
Professional Enrollment ID
I20100628000768
Address ID
MO652018104CO500XXSTXX400
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

863 OPTOMETRY in MO

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Provider Addresses for DONALD J VANDERFELTZ (O. D.)

  • 202, East North Street, Anaheim, Orange County, California, 92805, United States

    P. O. BOX 246

    CALIFORNIA, MO 650181583

    Phone: (573) 796-2222

    Fax: (573) 796-4184

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $638.

Total Amount is formed as General ($638) + Research ($0) + Ownership ($0) = $638.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Alcon Vision LLC ($468).

Total Amount

$638

General + Research + Ownership

Payments

20

Total payment records

General Amount

$638

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$468
Menicon$171
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: 2010-06-28

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
I20100628000768IOptometryMOTBD

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 system287286$0
92134Imaging of retina116110$0
99213Established patient office or other outpatient visit, 20-29 minutes6257$0
92133Imaging of optic nerve4643$0
66984Removal of cataract with insertion of prosthetic lens4527$0
View full utilization report →

Insurance plans in this area (ZIP 65018)

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Provider's Procedures

DONALD J VANDERFELTZ (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 patient7878
OPTOMETRYMO92083Measurement of field of vision during daylight conditions4747
OPTOMETRYMO92134Diagnostic imaging of retina103100

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: 2769574714View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO
O P H T H A L M O L O G YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
-MO
O P T O M E T R YMO
O P H T H A L M O L O G YMO

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Frequently asked questions

Can I verify DONALD J VANDERFELTZ (O. D.) with an NPI only?
You can start verification with NPI 1225040249 for DONALD J VANDERFELTZ (O. D.), then check state licensing separately.
Does the file indicate DONALD J VANDERFELTZ (O. D.) is practicing under active NPI?
Directory data currently reports DONALD J VANDERFELTZ (O. D.) as active.
What is DONALD J VANDERFELTZ (O. D.)'s primary classification?
Optometrist is the headline specialty for DONALD J VANDERFELTZ (O. D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DONALD J VANDERFELTZ (O. D.) on a map?
Expect California, Missouri as a primary anchor for DONALD J VANDERFELTZ (O. D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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