Active NPI 1831397306 Individual Practitioner Female Practitioner

Dr. Derri Sandberg , OD

Optometrist • Bend, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Derri Sandberg, OD is a certified Optometrist practicing in Bend, OR. With approximately 19 years of clinical experience since graduating from Pacific University - College Of Optometry in 2007, Dr. Sandberg delivers high-quality medical care to the local community at 901 NW CARLON AVE STE 2.

Dr. Sandberg is affiliated with Lifetime Vision Care Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, photography of the retina, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

901 Nw Carlon Ave Ste 2

Bend, OR 977032636

Telephone 5413823242

Fax 5413173579

Associated Practice Facility / Clinic

🏢 Lifetime Vision Care Facility NPI 1508961731

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bend, OR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +1.9 yrs vs City Avg

City Avg: 17.1 Yrs

State Avg: 19.6 Yrs

Regional Practice Density

44 Specialists

Practicing in Bend, OR (975 Statewide)

Telehealth Adoption Rate

2.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

42.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sandberg (19 Years) 19 Yrs

Bend Specialty Average (17.1 Years) 17.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	288	243	$173.00	$123.55
92250 Photography of the retina	200	191	$79.00	$35.63
92134 Imaging of retina	157	114	$98.00	$38.44
99213 Established patient office or other outpatient visit, typically 15 minutes	147	107	$134.00	$87.45
92133 Imaging of optic nerve	93	73	$98.00	$33.34
92083 Exam of visual field with extended testing	67	50	$104.00	$61.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	36	$252.00	$173.48
92082 Exam of visual field with intermediate testing	27	26	$85.00	$45.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$92.00	$54.61
67820 Removal of eyelashes using forceps	13	12	$90.00	$17.99
92014 Established patient complete exam of visual system	11	11	$176.00	$121.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	197	$173.00	$122.62
92250 Photography of the retina	178	171	$79.00	$35.74
92134 Imaging of retina	134	99	$98.00	$38.12
99213 Established patient office or other outpatient visit, typically 15 minutes	129	94	$134.00	$86.69
92083 Exam of visual field with extended testing	66	56	$104.00	$60.30
92133 Imaging of optic nerve	65	55	$98.00	$33.56
92014 Established patient complete exam of visual system	41	41	$176.00	$122.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	18	$252.00	$167.90
92082 Exam of visual field with intermediate testing	25	25	$85.00	$45.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$238.00	$159.45
92284 Evaluation of eye adaptation to light and dark with interpretation and report	15	13	$95.00	$44.52
92012 Established patient problem focused exam of visual system	12	12	$122.00	$86.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$92.00	$54.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	200	187	$79.00	$35.47
99213 Established patient office or other outpatient visit, typically 15 minutes	174	118	$130.92	$87.15
92014 Established patient complete exam of visual system	161	161	$171.60	$122.40
92134 Imaging of retina	137	106	$98.00	$38.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	98	$169.22	$123.25
92083 Exam of visual field with extended testing	62	49	$104.00	$60.29
92133 Imaging of optic nerve	46	37	$98.00	$33.15
92082 Exam of visual field with intermediate testing	37	36	$85.00	$44.67
66984 Removal of cataract with insertion of lens	28	16	$420.00	$103.00
92284 Evaluation of eye adaptation to light and dark with interpretation and report	25	20	$95.00	$55.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	17	$247.44	$171.26
92004 New patient complete exam of visual system	22	22	$199.64	$144.96
92012 Established patient problem focused exam of visual system	19	18	$116.63	$86.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$92.00	$54.25
92285 Photography of content of eyes	12	12	$63.67	$21.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$232.55	$160.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	161	161	$155.34	$123.73
92250 Photography of the retina	145	138	$77.54	$37.83
99213 Established patient office or other outpatient visit, typically 15 minutes	93	73	$123.85	$88.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	63	$161.17	$123.37
92134 Imaging of retina	82	60	$96.98	$39.61
92133 Imaging of optic nerve	57	51	$96.95	$33.76
92083 Exam of visual field with extended testing	57	44	$101.32	$60.81
92012 Established patient problem focused exam of visual system	27	24	$113.33	$85.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$86.86	$54.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	12	$239.80	$160.95
92004 New patient complete exam of visual system	20	20	$183.60	$147.30
66984 Removal of cataract with insertion of lens	20	11	$420.00	$105.24
92082 Exam of visual field with intermediate testing	17	17	$82.94	$46.13
92285 Photography of content of eyes	13	13	$61.62	$21.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	165	164	$130.00	$124.08
92250 Photography of the retina	100	94	$75.00	$43.74
99213 Established patient office or other outpatient visit, typically 15 minutes	88	57	$108.00	$71.32
92134 Imaging of retina	65	53	$95.00	$39.84
92133 Imaging of optic nerve	43	36	$95.00	$34.77
92083 Exam of visual field with extended testing	40	31	$95.00	$61.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	27	$148.00	$100.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$80.00	$44.42
92082 Exam of visual field with intermediate testing	19	18	$80.00	$46.57
92004 New patient complete exam of visual system	13	13	$150.00	$148.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	150	150	$130.00	$124.84
99213 Established patient office or other outpatient visit, typically 15 minutes	110	67	$108.00	$72.50
92250 Photography of the retina	97	91	$75.00	$49.77
92134 Imaging of retina	70	54	$95.00	$40.00
92083 Exam of visual field with extended testing	60	41	$95.00	$63.04
92133 Imaging of optic nerve	55	42	$95.00	$35.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	42	$80.00	$44.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	35	$148.00	$106.90
68761 Closure of tear duct opening using plug	23	11	$120.57	$98.56
92004 New patient complete exam of visual system	18	18	$150.00	$148.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	148	148	$118.45	$111.99
99213 Established patient office or other outpatient visit, typically 15 minutes	89	53	$100.76	$69.39
92250 Photography of the retina	62	59	$75.00	$53.48
92134 Imaging of retina	56	47	$95.00	$39.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	40	$75.50	$41.69
92133 Imaging of optic nerve	49	41	$95.00	$34.66
92083 Exam of visual field with extended testing	42	36	$95.00	$61.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$134.42	$102.70
66984 Removal of cataract with insertion of lens	30	17	$275.32	$121.55
92285 Photography of content of eyes	14	13	$60.00	$19.61
92004 New patient complete exam of visual system	12	12	$129.17	$125.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	116	116	$100.00	$97.61
99213 Established patient office or other outpatient visit, typically 15 minutes	77	54	$85.00	$68.74
92083 Exam of visual field with extended testing	55	48	$95.00	$60.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	38	$65.00	$40.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	38	$120.00	$101.04
92250 Photography of the retina	40	36	$75.00	$60.64
92133 Imaging of optic nerve	38	32	$95.00	$33.78
92134 Imaging of retina	27	26	$95.00	$38.43
66984 Removal of cataract with insertion of lens	22	12	$249.85	$118.53
92004 New patient complete exam of visual system	16	16	$100.00	$98.53

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OR 3213ATI

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

243164 (OR)

Hospital & Practice Group Affiliations

Lifetime Vision Care Llc

901 Nw Carlon Ave, Bend, OR 977032636

Phone: 5413823242

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Carl Ryan , OD

Optometrist

NPI 1154435162

Doctor of Optometry

Dr. Matthew Sisson , OD

Optometrist

NPI 1255616306

Doctor of Optometry

Stephanie Rettenmeier

Optometrist

NPI 1295197226

Dr. Brock Karben , OD

Optometrist

NPI 1881841781

Doctor of Optometry

Dr. Daniela Minnis , OD

Optometrist

NPI 1962787010

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 14, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 14, 2015

Registered at 901 NW CARLON AVE STE 2, BEND, OR 977032636 (Tel: 5413823242)

📍

Updated Business Mailing Address July 14, 2015

Registered at 901 NW CARLON AVE, BEND, OR 977032636 (Tel: 5413823242)

👤

Provider Name / Credentials Updated July 14, 2015

Recorded as DERRI SANDBERG, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2015

Optometrist (License #3213ATI in OR)

🟢

Initial NPI Registration & Enumeration July 06, 2007

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: 1831397306

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 06, 2007

Last Update: July 14, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

901 Nw Carlon Ave

Bend, OR 977032636

Phone: 5413823242

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.