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Active NPI 1114353232 Individual Practitioner Male Practitioner

Dr. Derek Alan Black , OD

Optometrist • Cumming, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Derek Black, OD is a certified Optometrist practicing in Cumming, GA. With approximately 13 years of clinical experience since graduating from Southern College Of Optometry in 2013, Dr. Black delivers high-quality medical care to the local community at 1211 BALD RIDGE MARINA RD.

Dr. Black maintains professional affiliations with Lake Lanier Eye Care, Llc, Eagle View Eye Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1211 Bald Ridge Marina Rd

Cumming, GA 300418484

Telephone 4702396625
Fax 4702396626
Associated Practice Facility / Clinic
🏢 Costco Wholesale Corporation Facility NPI 1205249984

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Cumming, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -8.6 yrs vs City Avg
City Avg: 21.6 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
34 Specialists

Practicing in Cumming, GA (1498 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Black (13 Years) 13 Yrs
Cumming Specialty Average (21.6 Years) 21.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
36 24 $130.00 $88.56
92014 Established patient complete exam of visual system
28 27 $170.00 $120.40
92004 New patient complete exam of visual system
24 24 $170.00 $142.22
92083 Exam of visual field with extended testing
17 13 $70.00 $60.81
92250 Photography of the retina
14 12 $60.00 $34.75
92134 Imaging of retina
14 11 $70.00 $39.29

Medical Specialties & State Licenses

CMS Verified: 2020-10-26
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License GA OPT002922

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Lake Lanier Eye Care, Llc

5885 Cumming Hwy, Sugar Hill, GA 305185625

Phone: 6789263525

Eagle View Eye Care Llc

1211 Bald Ridge Marina Rd, Cumming, GA 300418484

Phone: 7064199240

Secondary Practice Locations

9300 Dewitt Loop, Ft Belvoir Community Hospital

Fort Belvoir, VA 220605285

Phone: 5712311431

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1366103376

Doctor of Optometry

NPI 1720895782

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2020

Optometrist (License #OPT002922 in GA)

📍
Updated Practice Location April 13, 2020

Registered at 1211 BALD RIDGE MARINA RD, CUMMING, GA 300418484 (Tel: 4702396625)

📍
Updated Business Mailing Address April 13, 2020

Registered at 1211 BALD RIDGE MARINA RD, CUMMING, GA 300418484 (Tel: 4702396625)

NPI Profile Active September 20, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 20, 2013

Registered at 9300 DEWITT LOOP, FT BELVOIR COMMUNITY HOSPITAL, FORT BELVOIR, VA 220605285 (Tel: 5712311431)

📍
Updated Business Mailing Address September 20, 2013

Registered at 9300 DEWITT LOOP, FT BELVOIR COMMUNITY HOSPITAL, FORT BELVOIR, VA 220605285 (Tel: 5712311431)

👤
Provider Name / Credentials Updated September 20, 2013

Recorded as DEREK BLACK, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2013

Optometrist (License #OEG002753 in PA)

🟢
Initial NPI Registration & Enumeration September 20, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114353232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2013
Last Update: October 26, 2020
Sole Proprietor: No

Mailing Address

1211 Bald Ridge Marina Rd

Cumming, GA 300418484

Phone: 4702396625

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.