DR. LEXI DERRY (O.D.) – Optometrist, NPI 1063709491
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,128 OPTOMETRY in TX
Provider Addresses for DR. LEXI DERRY (O.D.)
900 MATISSE DR
4075
FT WORTH, TX 761072396
Phone:
Type: Mailing
9816 N BEACH ST
FORT WORTH, TX 762446184
Phone: (817) 741-2020
Fax: (815) 316-0010
Type: Location
123 HOSPITAL DR
WATERTOWN, WI 530983331
Phone: (202) 618-2259
Fax: (920) 261-5343
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $201.
Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Astellas Pharma US Inc ($81).
Total Amount
$201
General + Research + Ownership
Payments
9
Total payment records
General Amount
$201
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-02-13
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 |
|---|---|---|---|---|
| I20170109000088 | I | Optometry | TX | TBD |
| I20210213000104 | I | Optometry | WI | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 513 | 511 | $0 |
| 92004 | New patient complete exam of visual system | 102 | 102 | $0 |
| 92134 | Imaging of retina | 88 | 87 | $0 |
| 92133 | Imaging of optic nerve | 86 | 79 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 54 | $0 |
Insurance plans in this area (ZIP 76107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WI | |
| - | WI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Nuclear Medicine | FL | |
| Physician Assistant | WI | |
| U R O L O G Y | WI | |
| Nurse Practitioner | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| U R O L O G Y | WI | |
| Nurse Practitioner | WI | |
| General Surgery | WI |
Reviews
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