Derek Scott Peveler, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3003 Issued in TN

Practice address

313 E Main St
Suite 4
Hendersonville, TN 37075-3898

Phone

(615) 822-6157

Fax

(615) 824-7497

NPI assigned

Jul 18, 2011

Last updated

Dec 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Politzer and Durocher PLCGroup PAC ID 0840379921, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• MS PPO
• AL HMO D-SNP
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• MS PPO C-SNP
• TN PPO C-SNP
• MS PPO D-SNP
• AL HMO
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• TN PPO

Interoperability endpoints

• Direct secure messaging: derek.peveler@uprisedirect.com

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

• Politzer and Durocher PLC

  • Optometrist
  • Nashville, TN
  • NPI 1396738720
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1003104571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E MAIN ST",
            "address_2": "SUITE 4",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753898",
            "telephone_number": "615-822-6157",
            "fax_number": "615-824-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E MAIN ST",
            "address_2": "SUITE 4",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753898",
            "telephone_number": "615-822-6157",
            "fax_number": "615-824-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVELER",
        "first_name": "DEREK",
        "middle_name": "SCOTT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Peterson, SLP
• Cindy Duggan Peterson, COTA/L
• Kylie Peterson
• Lily Kay Petracci
• Michael John Petracci, D.C
• Mason Pfendler, AU.D.
• Aimee Jeannelle Phillips
• Daniel Lee Phillips, M.D.
• Jacqueline Phillips
• Physiotherapy Associates Inc

• Optometrist in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.