Doctor profile · Federal record
Dr. Jack Derby, OD
Optometrist (CMS: Optometry) · Marion, IN
- NPI 1841671948
- Accepts Medicare
- 11 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
506 S Washington St
Marion, IN 469531961
(765) 662-6648
fax (765) 662-6250
Credentials & registration
- NPI registered
- June 2015 — 11 yrs on file
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Indiana #18003896A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1841671948. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
449
Distinct HCPCS
9
Medicare allowed
$41,504
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 182 | 165 | $119 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 70 | 59 | $84 | |
92134 |
Imaging of retina | 40 | 39 | $38 | |
92250 |
Photography of the retina | 39 | 38 | $35 | |
66984 |
Removal of cataract with insertion of prosthetic lens | 33 | 21 | $99 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 29 | 29 | $155 | |
92133 |
Imaging of optic nerve | 24 | 24 | $33 | |
92083 |
Exam of visual field with extended testing | 21 | 21 | $58 | |
92014 |
Established patient complete exam of visual system | 11 | 11 | $118 |
In context: peer comparison
Among 9 peers in Marion Optometrist, average services per provider: 67. This provider delivers 6.7× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
401
Patients
125
Total drug cost
$50,021
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 208 | 63 | $4,967 |
| Timolol Maleate | Generic | 68 | 21 | $586 |
| Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) | Brand | 38 | 14 | $1,122 |
| Restasis (Cyclosporine) | Brand | 34 | 15 | $39,570 |
| Brimonidine Tartrate | Generic | 15 | 0 | $71 |
| Prednisolone Acetate | Generic | 14 | 0 | $466 |
| Neomycin-Polymyxin-Dexameth (Neomycin/Polymyxin B/Dexametha) | Brand | 13 | 12 | $184 |
| Travatan Z (Travoprost) | Brand | 11 | 0 | $3,054 |
Frequently asked questions
What is Dr. Jack Derby's medical specialty?
Dr. Jack Derby practices Optometrist in Marion, IN.
Where does Dr. Jack Derby practice?
Dr. Jack Derby practices at 506 S Washington St, Marion, IN 469531961. Office phone: 7656626648.
What is Dr. Jack Derby's NPI?
Dr. Jack Derby's National Provider Identifier (NPI) is 1841671948, issued by NPPES.
Does Dr. Jack Derby accept Medicare assignment?
Yes. Dr. Jack Derby accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Derby commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Imaging of retina (HCPCS 92134). Source: CMS Medicare Physician & Other Practitioners file.