MICHELLE DERHEIMER – Optometrist, NPI 1265873475

MICHELLE DERHEIMER is a healthcare provider. based in Des peres, Missouri. specializing in OPTOMETRY. They hold a License No. 2013025320 (MO). The NPI Number for MICHELLE DERHEIMER is 1265873475

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE DERHEIMER
NPI
1265873475
Phone
(314) 909-0633
Address
12990 MANCHESTER RD
Enumeration Date
16 July 2013
Last Update Date
16 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3149090633
Graduation Year
2013 (13 years ago)
PAC ID
7719120286
Group Practice PAC ID
6800884008
Professional Enrollment ID
I20130830000772
Address ID
MO631311860SA12990RDXX305
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

Provider Addresses for MICHELLE DERHEIMER

  • 12990 MANCHESTER RD

    SUITE 201

    DES PERES, MO 631311860

    Phone: (314) 909-0633

    Fax: (314) 909-0391

    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 97 Open Payments records for all available years, with a total value of $1,962.

Total Amount is formed as General ($1,962) + Research ($0) + Ownership ($0) = $1,962.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($515).

Total Amount

$1,962

General + Research + Ownership

Payments

97

Total payment records

General Amount

$1,962

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2013-08-30

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
I20130830000772IOptometryMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes350319$0
99213Established patient office or other outpatient visit, 20-29 minutes5853$0
92134Imaging of retina5246$0
92133Imaging of optic nerve4646$0
92083Exam of visual field with extended testing4140$0
View full utilization report →

Insurance plans in this area (ZIP 63131)

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Provider's Procedures

MICHELLE DERHEIMER performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMO92083Measurement of field of vision during daylight conditions2020
OPTOMETRYMO92134Diagnostic imaging of retina2723

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: 6800884008View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMO
O P T O M E T R YAE
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 H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
O P T O M E T R YMO

Reviews

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Frequently asked questions

Is MICHELLE DERHEIMER listed with a National Provider Identifier?
Yes — MICHELLE DERHEIMER has NPI 1265873475 on file in the registry.
Is MICHELLE DERHEIMER shown as active in public data?
Registry records indicate MICHELLE DERHEIMER maintains an active NPI.
How would a patient describe MICHELLE DERHEIMER's focus?
For MICHELLE DERHEIMER, the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with MICHELLE DERHEIMER?
Directory geography for MICHELLE DERHEIMER centers on Des Peres, Missouri.
When was this NPI issued?
Enumeration for MICHELLE DERHEIMER is noted as July 16, 2013 where the registry provides it.

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