GREGORY J DERODES (O.D.) – Optometrist, NPI 1790876605

GREGORY J DERODES (O.D.) is a healthcare provider. based in Fremont, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4347 (OH). The NPI Number for GREGORY J DERODES (O.D.) is 1790876605

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY J DERODES (O.D.)
NPI
1790876605
Phone
(419) 334-8121
Address
2311 HAYES AVE
Enumeration Date
27 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
4193328121
Graduation Year
1992 (34 years ago)
PAC ID
6800951278
Group Practice PAC ID
0446314892
Professional Enrollment ID
I20090304000220
Address ID
OH434202634FR2311XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for GREGORY J DERODES (O.D.)

  • Hayes Avenue, Downtown Fremont Historic District, Fremont, Sandusky County, Ohio, 43420, United States

    FREMONT, OH 434202634

    Phone: (419) 334-8121

    Fax: (419) 332-9351

    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 8 Open Payments records for all available years, with a total value of $158.

Total Amount is formed as General ($158) + Research ($0) + Ownership ($0) = $158.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($53).

Total Amount

$158

General + Research + Ownership

Payments

8

Total payment records

General Amount

$158

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2009-03-04

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
I20090304000220IOptometryOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes491330$0
99214Established patient office or other outpatient visit, 30-39 minutes356333$0
99203New patient office or other outpatient visit, 30-44 minutes4040$0
92083Exam of visual field with extended testing3131$0
92133Imaging of optic nerve1111$0
View full utilization report →

Insurance plans in this area (ZIP 43420)

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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: 0446314892View 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
O P H T H A L M O L O G YOH

Reviews

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Frequently asked questions

Does GREGORY J DERODES (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GREGORY J DERODES (O.D.) uses 1790876605.
Does the file indicate GREGORY J DERODES (O.D.) is practicing under active NPI?
Directory data currently reports GREGORY J DERODES (O.D.) as active.
What is GREGORY J DERODES (O.D.)'s specialty?
The listing groups GREGORY J DERODES (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect GREGORY J DERODES (O.D.) on a map?
Expect Fremont, Ohio as a primary anchor for GREGORY J DERODES (O.D.) unless the record lists multiple sites.
Is the information about GREGORY J DERODES (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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