Jack Derby, OD
NPI 1841671948 · Optometrist · Marion, IN
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Derby, OD is a Optometrist provider in Marion, IN (NPI 1841671948).
Provider details
- NPI number
- 1841671948
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 18003896A (IN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
450 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 199 | $119 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 68 | $84 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 37 | $155 |
| Imaging of Retina92134 | 36 | $37 |
| Imaging of Optic Nerve92133 | 32 | $34 |
| Photography of the Retina92250 | 28 | $34 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 183 | 52 |
| Timolol Maleate | 73 | 18 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 64 | 18 |
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 34 | 29 |
| Cyclosporinebrand: Restasis | 31 | — |
| Prednisolone Acetate | 21 | 21 |
| Lifitegrastbrand: Xiidra | 20 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-15
- Last updated
- 2015-06-15
Frequently asked questions
- What is Jack Derby's NPI number?
- Jack Derby's National Provider Identifier (NPI) is 1841671948, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Derby's specialty?
- Jack Derby is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Jack Derby located?
- Jack Derby's practice location on file with NPPES is 506 S Washington St, Marion, IN 46953-1961.
- What is Jack Derby's phone number?
- The practice phone number listed in the NPPES registry for Jack Derby is (765) 662-6648.
- Does Jack Derby accept Medicare?
- Jack Derby is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Derby's NPI active?
- Yes — Jack Derby's NPI (1841671948) is active in the NPPES registry as of the last update on 2015-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.