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Active NPI 1265407084 Individual Practitioner Male Practitioner

Dr. Derek N. Cunningham , OD

Optometrist • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Derek Cunningham, OD is a certified Optometrist practicing in Austin, TX. With approximately 24 years of clinical experience since graduating from University Of Waterloo - School Of Optometry in 2002, Dr. Cunningham delivers high-quality medical care to the local community at 901 MOPAC EXPRESSWAY SOUTH.

Dr. Cunningham is affiliated with Dell Laser Consultants, P.A. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, established patient complete exam of visual system, 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 Mopac Expressway South
Building 4 Suite 350

Austin, TX 787465776

Telephone 5123470255
Fax 5123470785
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Waterloo - School Of Optometry

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Austin, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +8.1 yrs vs City Avg
City Avg: 15.9 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
262 Specialists

Practicing in Austin, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (24 Years) 24 Yrs
Austin Specialty Average (15.9 Years) 15.9 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
92012 Established patient problem focused exam of visual system
365 213 $125.00 $88.66
92014 Established patient complete exam of visual system
230 218 $150.22 $126.82
92134 Imaging of retina
60 60 $143.75 $40.63
65778 Insertion of amniotic membrane to eye surface
47 27 $1700.00 $1087.10
92004 New patient complete exam of visual system
42 42 $200.00 $146.67
68761 Closure of tear duct opening using plug
39 36 $594.87 $217.86
92133 Imaging of optic nerve
36 35 $134.72 $35.76
92083 Exam of visual field with extended testing
32 30 $100.00 $63.99
92250 Photography of the retina
28 26 $100.00 $34.64

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 06300T

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License AL R164TA776

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
166400501 (TX)

Hospital & Practice Group Affiliations

Dell Laser Consultants, P.a.

901 S Mopac Expy, Austin, TX 787465889

Phone: 5123470255

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1285018721

Doctor of Optometry

Michal Martin

Optometrist

NPI 1316674419
NPI 1366053175

Doctor of Optometry

Dr. Divya Varu , MD

Ophthalmology

NPI 1639311194

Doctor of Medicine (M.D.)

NPI 1851727820

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 October 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2014

Registered at 901 MOPAC EXPRESSWAY SOUTH, BUILDING 4 SUITE 350, AUSTIN, TX 787465776 (Tel: 5123470255)

📍
Updated Business Mailing Address October 21, 2014

Registered at 901 MOPAC EXPRESSWAY SOUTH, BUILDING 4 SUITE 350, AUSTIN, TX 787465776 (Tel: 5123470255)

👤
Provider Name / Credentials Updated October 21, 2014

Recorded as DEREK CUNNINGHAM, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2014

Optometrist (License #06300T in TX)

🟢
Initial NPI Registration & Enumeration February 23, 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: 1265407084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2006
Last Update: October 21, 2014
Sole Proprietor: No

Mailing Address

901 Mopac Expressway South, Building 4 Suite 350

Austin, TX 787465776

Phone: 5123470255

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.