DOUGLAS G ROSE (OD) – Optometrist, NPI 1285654418
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
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Provider Addresses for DOUGLAS G ROSE (OD)
40, East North Street, Eureka, Saint Louis County, Missouri, 63025, United States
EUREKA, MO 630251205
Phone: (636) 200-4393
Fax: (636) 938-2650
Type: Mailing
Clarkson Eyecare, 390, Mid Rivers Mall Drive, Saint Peters, Saint Charles County, Missouri, 63376, United States
SUITE 290
SAINT PETERS, MO 633761565
Phone: (636) 279-2020
Fax: (636) 279-1055
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 $241.
Total Amount is formed as General ($241) + Research ($0) + Ownership ($0) = $241.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Alcon Vision LLC ($203).
Total Amount
$241
General + Research + Ownership
Payments
7
Total payment records
General Amount
$241
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $203 |
| Oyster Point Pharma, Inc. | $19 |
| Johnson & Johnson Surgical Vision, Inc. | $19 |
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: 2004-06-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040603000057 | I | Optometry | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 255 | 210 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 85 | 85 | $0 |
| 92134 | Imaging of retina | 83 | 76 | $0 |
| 92014 | Established patient complete exam of visual system | 83 | 83 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 52 | 52 | $0 |
Insurance plans in this area (ZIP 63025)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | MO | 92083 | Measurement of field of vision during daylight conditions | 21 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P H T H A L M O L O G Y | MO | |
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P H T H A L M O L O G Y | MO | |
| O P H T H A L M O L O G Y | MO |
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