Derek Cunningham, O.D.
NPI 1265407084 · Optometrist · Austin, TX
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Cunningham, O.D. is a Optometrist provider in Austin, TX (NPI 1265407084).
Provider details
- NPI number
- 1265407084
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- R164TA776 (AL)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
879 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Problem Focused Exam of Visual System92012 | 365 | $89 |
| Established Patient Complete Exam of Visual System92014 | 230 | $127 |
| Imaging of Retina92134 | 60 | $41 |
| Placement of Amniotic Membrane on Eye Surface for Wound Healing65778 | 47 | $1,087 |
| New Patient Complete Exam of Visual System92004 | 42 | $147 |
| Closure of Tear Duct Opening Using Plug68761 | 39 | $218 |
| Imaging of Optic Nerve |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Lifitegrastbrand: Xiidra | 528 | 227 |
| Latanoprost | 190 | 57 |
| Loteprednol Etabonatebrand: Lotemax Sm | 137 | 99 |
| Perfluorohexyloctane/Pfbrand: Miebo | 100 | 23 |
| Cyclosporinebrand: Restasis | 84 | 41 |
| Cyclosporinebrand: Cequa | 60 | 23 |
| Cyclosporinebrand: Vevye | 37 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$122,284 across 241 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-23
- Last updated
- 2014-10-21
Frequently asked questions
- What is Derek Cunningham's NPI number?
- Derek Cunningham's National Provider Identifier (NPI) is 1265407084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Cunningham's specialty?
- Derek Cunningham is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Derek Cunningham located?
- Derek Cunningham's practice location on file with NPPES is 901 Mopac Expressway South, Austin, TX 78746-5776.
- What is Derek Cunningham's phone number?
- The practice phone number listed in the NPPES registry for Derek Cunningham is (512) 347-0255.
- Does Derek Cunningham accept Medicare?
- Derek Cunningham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Cunningham's NPI active?
- Yes — Derek Cunningham's NPI (1265407084) is active in the NPPES registry as of the last update on 2014-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.