RENATA B. RAEDER (O.D.) – Optometrist, NPI 1699857003

RENATA B. RAEDER (O.D.) is a healthcare provider. based in Leesburg, Virginia. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 0618000741 (VA). The NPI Number for RENATA B. RAEDER (O.D.) is 1699857003

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
RENATA B. RAEDER (O.D.)
NPI
1699857003
Phone
(703) 737-6010
Address
224 D CORNWALL STREET NW
Enumeration Date
19 October 2006
Last Update Date
9 April 2024

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
7039319100
Graduation Year
1998 (28 years ago)
PAC ID
2860553823
Group Practice PAC ID
0042119661
Professional Enrollment ID
I20081209000468
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for RENATA B. RAEDER (O.D.)

  • 224 D CORNWALL STREET NW

    STE 403

    LEESBURG, VA 201762704

    Phone: (703) 737-6010

    Fax: (703) 443-8643

    Type: Mailing

  • 21475 RIDGETOP CIRCLE SUITE 300

    STERLING, VA 201668580

    Phone: (703) 430-4400

    Fax: (703) 430-4130

    Type: Location

  • 17334, Troyer Road, Troyer, Monkton, Baltimore County, Maryland, 21111, United States

    BALTIMORE, MD 212971334

    Phone: (703) 443-6717

    Fax: (703) 443-8643

    Type: Mailing

  • The Eye Center - Sterling, 21475, Ridgetop Circle, Sterling, Loudoun County, Virginia, 20166, United States

    SUITE 300

    STERLING, VA 201666580

    Phone: (703) 430-4400

    Fax: (703) 430-4130

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2023-03-13 • Largest payer in this snapshot: ABBVIE INC. ($73).

Total Amount

$73

General + Research + Ownership

Payments

4

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$73
View all Open Payments →|Open Payments Risk Radar →

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: 2009-01-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081209000468IOptometryDCTBD
I20090106000582IOptometryVATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20176)

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Provider's Procedures

RENATA B. RAEDER (O.D.) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYVA92012Eye and medical examination for diagnosis and treatment, established patient4235
OPTOMETRYVA92083Measurement of field of vision during daylight conditions2719

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042119661View full group profile

Reviews

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Frequently asked questions

What number should I use to identify RENATA B. RAEDER (O.D.) for billing?
Administrative and clinical systems typically use NPI 1699857003 for RENATA B. RAEDER (O.D.).
Is RENATA B. RAEDER (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists RENATA B. RAEDER (O.D.) as active.
What services align with RENATA B. RAEDER (O.D.)'s listing?
RENATA B. RAEDER (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Is RENATA B. RAEDER (O.D.) tied to Leesburg, Virginia?
If you are local to Leesburg, Virginia, RENATA B. RAEDER (O.D.) may be relevant to your search.
Who maintains RENATA B. RAEDER (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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