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Active NPI 1669490686 Individual Practitioner Male Practitioner

Dr. Daryn W. Derstine , OD

Optometrist • Portland, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daryn Derstine, OD is a certified Optometrist practicing in Portland, OR. With approximately 26 years of clinical experience since graduating from University Alabama Birmingham - School Of Optometry in 2000, Dr. Derstine delivers high-quality medical care to the local community at 6539 SE MILWAUKIE AVE.

Dr. Derstine accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, established 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

6539 Se Milwaukie Ave

Portland, OR 972025519

Telephone 5032366008
Fax 5032362057
Associated Practice Facility / Clinic
🏢 Scott J Wojciechowski Od Facility NPI 1730329137

Medicare Profile & Education

Medical School

University Alabama Birmingham - School Of Optometry

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Portland, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +8.9 yrs vs City Avg
City Avg: 17.1 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
230 Specialists

Practicing in Portland, OR (975 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Derstine (26 Years) 26 Yrs
Portland 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
50 49 $249.24 $131.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
23 19 $108.61 $58.45
99213 Established patient office or other outpatient visit, typically 15 minutes
16 15 $177.00 $93.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $326.00 $170.92

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OR 2773ATI

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1164425948

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 15, 2019

Registered at 6539 SE MILWAUKIE AVE, PORTLAND, OR 972025519 (Tel: 5032366008)

📍
Updated Business Mailing Address August 15, 2019

Registered at 6539 SE MILWAUKIE AVE, PORTLAND, OR 972025519 (Tel: 5032366008)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 12000 SE 82ND AVE, #1008, PORTLAND, OR 972667721 (Tel: 5036546217)

📍
Updated Business Mailing Address July 09, 2007

Registered at 12000 SE 82ND AVE, #1008, PORTLAND, OR 972667721 (Tel: 5036546217)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as DARYN DERSTINE, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Optometrist (License #2773ATI in OR)

🟢
Initial NPI Registration & Enumeration July 17, 2006

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: 1669490686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: August 15, 2019
Sole Proprietor: No

Mailing Address

6539 Se Milwaukie Ave

Portland, OR 972025519

Phone: 5032366008

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.