DR. DEREK JOSEPH MELTON (O.D.) – Optometrist, NPI 1922058429
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. DEREK JOSEPH MELTON (O.D.)
4061 Hwy PP Suite 1
Melton Eye Care Associates
Poplar Bluff, MO 63901
Phone: (573) 778-9143
Fax: (573) 778-9164
Type: Location
4061 HWY PP SUITE 1
MELTON EYE CARE ASSOCIATES
POPLAR BLUFF, MO 63901
Phone: (573) 778-9143
Fax: (573) 778-9164
Type: Mailing
PO BOX 649
FORT DEFIANCE, AZ 865040649
Phone: (928) 729-8000
Type: Mailing
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone: (928) 729-8000
Type: Location
99 SKYVIEW ROAD (FORMER DAEOC HEADSTART BLDG)
MELTON EYE CARE ASSOCIATES/PORTAGEVILLE EYE CLINIC
PORTAGEVILLE, MO 63873
Phone: (573) 714-4324
Fax: (573) 778-9143
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-11-28
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 |
|---|---|---|---|---|
| I20040630000914 | I | Optometry | TX | TBD |
| I20051128000132 | I | Optometry | MO | 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 |
|---|---|---|---|---|
| 92250 | Photography of the retina | 11 | 11 | $0 |
Insurance plans in this area (ZIP 63901)
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