DR. JULIANA KAY DERKSEN (O.D.) – Optometrist, NPI 1376759266

DR. JULIANA KAY DERKSEN (O.D.) is a healthcare provider. based in Springfield, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT.005201 (OH). The NPI Number for DR. JULIANA KAY DERKSEN (O.D.) is 1376759266

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. JULIANA KAY DERKSEN (O.D.)
NPI
1376759266
Phone
(937) 342-1988
Address
1024 N Plum St
Enumeration Date
15 May 2007
Last Update Date
15 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9373421988
Graduation Year
2001 (25 years ago)
PAC ID
3375952922
Group Practice PAC ID
7618207036
Professional Enrollment ID
I20210511001792
Address ID
OH455042108SP1024XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for DR. JULIANA KAY DERKSEN (O.D.)

  • 1024 N Plum St

    Springfield, OH 455042108

    Phone: (937) 342-1988

    Type: Location

  • 839 US Highway 130

    East Windsor, NJ 085202907

    Phone: (609) 443-6484

    Fax: (609) 443-6492

    Type: Location

  • 6600 CURTWOOD DR

    TIPP CITY, OH 453712710

    Phone: (609) 508-3974

    Type: Mailing

  • 2468 DAYTON XENIA RD

    BEAVERCREEK, OH 454347168

    Phone: (937) 426-7787

    Type: Location

  • Walmart Supercenter, 839, US Highway 130, East Windsor Township, Mercer County, New Jersey, 08520, United States

    EAST WINDSOR, NJ 085202907

    Phone: (609) 443-6484

    Fax: (609) 443-6492

    Type: Location

  • 246, Murray Avenue, Yardville, Hamilton Township, Mercer County, New Jersey, 08620, United States

    YARDVILLE, NJ 086209764

    Phone: (609) 585-0269

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $179.

Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($124).

Total Amount

$179

General + Research + Ownership

Payments

4

Total payment records

General Amount

$179

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

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: 2021-05-11

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
I20210511001792IOptometryOHTBD

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 system1515$0
View full utilization report →

Insurance plans in this area (ZIP 45504)

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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: 7618207036View full group profile
NameSpecialtyState
O P T O M E T R YSC
O P T O M E T R YNC
O P T O M E T R YOH
O P T O M E T R YTN
O P H T H A L M O L O G YMI
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
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

How do payers reference DR. JULIANA KAY DERKSEN (O.D.)?
For DR. JULIANA KAY DERKSEN (O.D.), use NPI 1376759266 as the unique 10-digit identifier.
Is DR. JULIANA KAY DERKSEN (O.D.) shown as active in public data?
Registry records indicate DR. JULIANA KAY DERKSEN (O.D.) maintains an active NPI.
What clinical focus is listed for DR. JULIANA KAY DERKSEN (O.D.)?
At a glance, DR. JULIANA KAY DERKSEN (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JULIANA KAY DERKSEN (O.D.)?
Directory geography for DR. JULIANA KAY DERKSEN (O.D.) centers on Springfield, Ohio.
Can I trust this NPI listing for DR. JULIANA KAY DERKSEN (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.