BRODIE DEJERNETT (OD) – Optometrist, NPI 1568843100
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,128 OPTOMETRY in TX
Provider Addresses for BRODIE DEJERNETT (OD)
4460 E Highway 287 Ste A
Midlothian, TX 760657031
Phone: (972) 775-8000
Fax: (972) 775-8003
Type: Location
6705 FIRE DANCE DR
BENBROOK, TX 761262614
Phone: (940) 783-8538
Type: Mailing
839 N NOLAN RIVER RD
CLEBURNE, TX 760337001
Phone: (817) 645-2411
Fax: (817) 645-2189
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($62).
Total Amount
$125
General + Research + Ownership
Payments
6
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $62 |
| CooperVision Inc. | $32 |
| Alcon Vision LLC | $31 |
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: 2015-11-18
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 |
|---|---|---|---|---|
| I20151118002082 | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 78 | 78 | $0 |
| 92250 | Photography of the retina | 57 | 57 | $0 |
| 92012 | Established patient problem focused exam of visual system | 54 | 39 | $0 |
| 92004 | New patient complete exam of visual system | 34 | 34 | $0 |
| 92133 | Imaging of optic nerve | 29 | 29 | $0 |
Insurance plans in this area (ZIP 76065)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TX | |
| - | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX | |
| - | TX | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX |
Reviews
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