DEREK N. CUNNINGHAM (O.D.) – Optometrist, NPI 1265407084
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,129 OPTOMETRY in TX
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Provider Addresses for DEREK N. CUNNINGHAM (O.D.)
Mopac Expressway, Austin, Travis County, Texas, 78739, United States
BUILDING 4 SUITE 350
AUSTIN, TX 787465776
Phone: (512) 347-0255
Fax: (512) 347-0785
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 465 Open Payments records for all available years, with a total value of $268,013.
Total Amount is formed as General ($268,013) + Research ($0) + Ownership ($0) = $268,013.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($148,073).
Total Amount
$268,013
General + Research + Ownership
Payments
465
Total payment records
General Amount
$268,013
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $148,073 |
| Sun Pharmaceutical Industries Inc. | $47,429 |
| Sight Sciences, Inc. | $32,861 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $30,311 |
| Harrow Eye, LLC | $6,842 |
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: 2004-06-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040610000502 | I | Optometry | TX | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 375 | 229 | $0 |
| 92014 | Established patient complete exam of visual system | 184 | 178 | $0 |
| 68761 | Closure of tear duct opening using plug | 96 | 84 | $0 |
| 92134 | Imaging of retina | 60 | 60 | $0 |
| 92083 | Exam of visual field with extended testing | 56 | 48 | $0 |
Insurance plans in this area (ZIP 78746)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | TX | 92083 | Measurement of field of vision during daylight conditions | 24 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | CA | |
| O P T O M E T R Y | NM |
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