DR. WESLEY J DEROSIER (O.D.) – Optometrist, NPI 1760401764
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. WESLEY J DEROSIER (O.D.)
102 SW Frank Phillips Blvd, Bartlesville, OK 74003
Bartleville, OK 740037400
Phone: (918) 933-4085
Fax: (918) 779-7794
Type: Location
4301 N Classen Blvd
Oklahoma City, OK 731185031
Phone: (405) 286-9699
Fax: (405) 236-5438
Type: Location
1001 N Grand Ave
Tahlequah, OK 744647017
Phone: (918) 458-2109
Fax: (918) 458-2310
Type: Location
1001, North Grand Avenue, Tahlequah, Cherokee County, Oklahoma, 74464, United States
TAHLEQUAH, OK 744647017
Phone: (918) 456-5511
Type: Mailing
East 31st Street, Longview Lake Estates, Tulsa, Tulsa County, Oklahoma, 74134, United States
TULSA, OK 741355008
Phone: (918) 933-4085
Fax: (918) 779-7794
Type: Location
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: 2012-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040303001294 | I | Optometry | TX | TBD |
| I20120203000641 | I | Optometry | OK | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 17 | 17 | $0 |
| 92083 | Exam of visual field with extended testing | 12 | 12 | $0 |
Insurance plans in this area (ZIP 74003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OK | |
| - | TX | |
| - | WA | |
| - | OK | |
| - | TX | |
| Occupational Therapist In Private Practice | OK | |
| Occupational Therapist In Private Practice | OK | |
| O P T O M E T R Y | NM |
Reviews
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