Active NPI
Derek J Pyle, OD
- Optometrist
- East Stroudsburg, PA
National Provider Identifier
1285690495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001518
- Practice address
- 300 Plaza Court
Suite a
East Stroudsburg, PA 18301-8260 - Phone
- (570) 421-8842
- Fax
- (570) 476-5842
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001518 | PA | Primary |
Addresses
Primary practice location
300 Plaza Court
Suite a
East Stroudsburg, PA 18301-8260
Mailing address
300 Plaza Court
Suite a
East Stroudsburg, PA 18301-8260
Phone (570) 421-8842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014751900001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Plaza CT
Suite a
E Stroudsburg, PA 18301-8260
Phone 57042188421007
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.85 of 100
- Quality
- 87.82
- Improvement activities
- 40
- Cost
- 72.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001518 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocono Eye Associates Inc | Optometrist | Current | Accepting new patients |
Locations
1650 Route 209
Brodheadsville, PA 18322
Phone (570) 992-4000
300 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 421-8842
Interoperability endpoints
- djp@poconoeye.direct.eyemdemr.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1285690495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PLAZA COURT",
"address_2": "SUITE A",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183018260",
"telephone_number": "570-421-8842",
"fax_number": "570-476-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PLAZA COURT",
"address_2": "SUITE A",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183018260",
"telephone_number": "570-421-8842",
"fax_number": "570-476-5842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYLE",
"first_name": "DEREK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014751900001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.