Individual provider Active NPI

Charles Derek Cohn, M.D.

  • Ophthalmology Physician
  • Fredericksburg, TX
National Provider Identifier
1003044058
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P0187 Issued in TX
Practice address
751 S Washington St
Fredericksburg, TX 78624-5022
Phone
(830) 997-6535
Fax
(830) 997-9695
NPI assigned
Jun 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X P0187 TX Primary

Addresses

Primary practice location

751 S Washington St
Fredericksburg, TX 78624-5022

Mailing address

751 S Washington St
Fredericksburg, TX 78624-5022
Phone (830) 997-6535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130114000334 TX Practitioner - Ophthalmology 1951554385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical Branch at Galveston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fredericksburg Eye Associates, PLLCGroup PAC ID 2466715693, 3 clinicians

Practice addresses (Care Compare)

751 S Washington St
Fredericksburg, TX 78624-5022
Phone (830) 997-6535

Hospital & facility affiliations

  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery547
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P0187TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fredericksburg Eye Associates, PLLC Ophthalmology CurrentSince May 6, 2019 Accepting new patients

Locations

755 S Washington St
Fredericksburg, TX 78624
Phone (830) 997-6535

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

751 S Washington St
Fredericksburg, TX 78624
Phone (512) 501-1010

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769212800000",
    "number": "1003044058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S WASHINGTON ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245022",
            "telephone_number": "830-997-6535",
            "fax_number": "830-997-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S WASHINGTON ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245022",
            "telephone_number": "830-997-6535",
            "fax_number": "830-997-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHN",
        "first_name": "CHARLES",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P0187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.