DR. DEREK ALAN BLACK (O.D.) – Optometrist, NPI 1114353232
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,052 OPTOMETRY in VA
Provider Addresses for DR. DEREK ALAN BLACK (O.D.)
9300 DeWitt Loop
Ft Belvoir Community Hospital
Fort Belvoir, VA 220605285
Phone: (571) 231-1431
Type: Location
1211 BALD RIDGE MARINA RD
CUMMING, GA 300418484
Phone: (470) 239-6625
Fax: (470) 239-6626
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 $126.
Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.
Last reported payment date: 2024-03-04 • Largest payer in this snapshot: CooperVision Inc. ($67).
Total Amount
$126
General + Research + Ownership
Payments
6
Total payment records
General Amount
$126
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $67 |
| Bausch & Lomb Americas Inc. | $25 |
| BIOTISSUE HOLDINGS INC. | $19 |
| Oyster Point Pharma, Inc. | $16 |
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: 2016-06-27
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 |
|---|---|---|---|---|
| I20160627001622 | I | Optometry | GA | 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 |
|---|---|---|---|---|
| 92004 | New patient complete exam of visual system | 35 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 16 | $0 |
| 92250 | Photography of the retina | 20 | 19 | $0 |
| 92014 | Established patient complete exam of visual system | 18 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 22060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA |
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