DR. DOUGLAS E EGBERT (O. D.) – Optometrist, NPI 1073517611

DR. DOUGLAS E EGBERT (O. D.) is a healthcare provider. based in Huber heights, Ohio. specializing in OPTOMETRY. They hold the professional credentials O. D.. They hold a License No. 4555 (OH). The NPI Number for DR. DOUGLAS E EGBERT (O. D.) is 1073517611

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS E EGBERT (O. D.)
NPI
1073517611
Phone
(937) 236-1770
Address
6557 BRANDT PIKE
Enumeration Date
10 June 2005
Last Update Date
10 July 2008

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
9372361770
Graduation Year
1994 (32 years ago)
PAC ID
6305881764
Group Practice PAC ID
5991740359
Professional Enrollment ID
I20120411000413
Address ID
OH454243353HU6557XPIKE300
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

1,618 OPTOMETRY in OH

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Provider Addresses for DR. DOUGLAS E EGBERT (O. D.)

  • 6557, Brandt Pike, Huber Heights, Montgomery County, Ohio, 45424, United States

    HUBER HEIGHTS, OH 454243353

    Phone: (937) 236-1770

    Fax: (937) 236-4003

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-04-11

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
I20120411000413IOptometryOHTBD

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
92250Photography of the retina172171$0
92014Established patient complete exam of visual system117116$0
92004New patient complete exam of visual system5151$0
99213Established patient office or other outpatient visit, 20-29 minutes3323$0
View full utilization report →

Insurance plans in this area (ZIP 45424)

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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: 5991740359View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

Can I cross-check DR. DOUGLAS E EGBERT (O. D.) using NPI 1073517611?
NPI 1073517611 belongs to DR. DOUGLAS E EGBERT (O. D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. DOUGLAS E EGBERT (O. D.)?
You should see DR. DOUGLAS E EGBERT (O. D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. DOUGLAS E EGBERT (O. D.)?
At a glance, DR. DOUGLAS E EGBERT (O. D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DOUGLAS E EGBERT (O. D.)?
Travel planning: use Huber Heights, Ohio as the reference point for DR. DOUGLAS E EGBERT (O. D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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