DEBORAH RADELINE BEREDA (O.D.) – Optometrist, NPI 1275523029

DEBORAH RADELINE BEREDA (O.D.) is a healthcare provider. based in Ballwin, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT004342 (OH). The NPI Number for DEBORAH RADELINE BEREDA (O.D.) is 1275523029

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
DEBORAH RADELINE BEREDA (O.D.)
NPI
1275523029
Phone
Not provided
Address
15933 CLAYTON RD STE 210
Enumeration Date
24 October 2005
Last Update Date
5 January 2026

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5136839710
Graduation Year
1992 (34 years ago)
PAC ID
4385714054
Group Practice PAC ID
2365566510
Professional Enrollment ID
I20080606000433
Address ID
OH452498234CI9998XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for DEBORAH RADELINE BEREDA (O.D.)

  • 15933 CLAYTON RD STE 210

    BALLWIN, MO 630112172

    Phone:

    Type: Mailing

  • 8179, Princeton Glendale Road, Beckett Center, Hamilton, West Chester Township, Butler County, Ohio, 45011, United States

    SUITE E

    WEST CHESTER, OH 450699302

    Phone: (513) 860-5525

    Fax: (513) 860-3313

    Type: Mailing

  • 8118 MONTGOMERY RD

    CINCINNATI, OH 452362935

    Phone: (513) 860-5525

    Fax: (513) 860-3313

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $536.

Total Amount is formed as General ($536) + Research ($0) + Ownership ($0) = $536.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($317).

Total Amount

$536

General + Research + Ownership

Payments

12

Total payment records

General Amount

$536

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2008-06-06

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
I20080606000433IOptometryOHTBD

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 system4747$0
92004New patient complete exam of visual system2424$0
View full utilization report →

Insurance plans in this area (ZIP 63011)

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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: 2365566510View full group profile

Reviews

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Frequently asked questions

Does DEBORAH RADELINE BEREDA (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DEBORAH RADELINE BEREDA (O.D.) uses 1275523029.
Does the file indicate DEBORAH RADELINE BEREDA (O.D.) is practicing under active NPI?
Directory data currently reports DEBORAH RADELINE BEREDA (O.D.) as active.
What healthcare role does DEBORAH RADELINE BEREDA (O.D.) hold?
Scheduling teams often label DEBORAH RADELINE BEREDA (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
What area does DEBORAH RADELINE BEREDA (O.D.) serve?
DEBORAH RADELINE BEREDA (O.D.)'s listing highlights Ballwin, Missouri; more addresses can appear in NPPES.
Why does DEBORAH RADELINE BEREDA (O.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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