NPPES file of Aug 9, 2026

Derek N. Cunningham, O.D.

Optometrist · Austin, TX

Derek N. Cunningham, O.D. is an optometrist with a practice address in Austin, Texas, and NPI 1265407084, issued on Feb 23, 2006. Check the license (Texas 06300T, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1265407084
Name
Derek N. Cunningham
Credential
O.D.
Primary taxonomy
Optometrist 152W00000X
License numbers
06300T TX
R164TA776 AL
Self-reported in NPPES; status is on the state search
Practice location
901 Mopac Expressway South, Austin, TX 78746
Phone
(512) 347-0255
Enumerated
Feb 23, 2006
Record last updated
Oct 21, 2014 (not updated in 12 years: call before relying on the address or phone)
Fax
(512) 347-0785
Medicaid ID
166400501 TX
Medicare enrollment
Enrolled (PECOS I20040610000502); accepts Medicare assignment
Medical or professional school
University Of Waterloo - School Of Optometry, 2002
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 901 Mopac Expressway South

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Marisol Gomez, O.DOptometrist1285018721

Verify Derek N. Cunningham in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this profession
    Search for license 06300T
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Texas license search

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5.2 times the Medicare Part D claims of the average optometrist in 2024

1,445 Medicare Part D claims for 457 beneficiaries, against an average of 277 among the 33,128 providers of this specialty who prescribed in Part D. Brand-name drugs were 89% of claims.

  1. Derek Cunningham1,445
  2. Specialty average277

Most prescribed

  1. Xiidra528 claims
  2. Latanoprost190 claims
  3. Lotemax Sm137 claims
  4. Miebo100 claims
  5. Restasis84 claims
  6. Cequa60 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 0 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score0.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities0 of 40 points · 15%0.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $122,283.65

241 payments; by number, the most common kind was food and beverage; the largest payer was Bausch & Lomb Americas Inc. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Derek Cunningham$122,284
  2. Specialty average$770

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Dell Laser Consultants, P.A.Austin, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Derek N. Cunningham among 5,006 optometrist records in Texas

Derek N. Cunningham, O.D. is one of 5,006 optometrist records with a practice address in Texas. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.

  • NPI issued2006 · 9% of these records are older, 65% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 58% of these records are
  • Graduated2002 · median 2010 among the 2,894 with a school on file
  • Record last updated2014 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Optometrist providers in Texas

There are 5,006 optometrist records in Texas.

The 8 optometrist records with the nearest ZIP codes

  1. Honour Cessac, ODAustin, TX 787461417950759
  2. Susan Elizondo, O.D.Austin, TX 787461073814216
  3. Julie Gorn, O.D.Austin, TX 787461710112511
  4. Gregg Kamnetz, O.D.Austin, TX 787461043258668
  5. Raeann Murray, O.D.Austin, TX 787461437405131
  6. Alexandra Nelson, O.D.Austin, TX 787461356783641
  7. Theresa Nguyen, O.D.Austin, TX 787461851727820
  8. Shelley Poirrier, O.D.Austin, TX 787461487706206

Common questions

What is Derek N. Cunningham, O.D.'s NPI number?

Derek N. Cunningham, O.D.'s National Provider Identifier (NPI) is 1265407084, issued on Feb 23, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Derek N. Cunningham, O.D. located?

The NPPES record lists a practice address at 901 Mopac Expressway South, Austin, TX, 78746. Phone: (512) 347-0255. Providers update this record themselves, so call before visiting.

How can I verify Derek N. Cunningham, O.D.'s license?

NPPES lists Texas license number 06300T, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.

How much does Derek N. Cunningham, O.D. prescribe under Medicare Part D?

In 2024, Derek N. Cunningham, O.D. had 1,445 Medicare Part D claims for 457 beneficiaries; the average among optometrist prescribers was 277. Part D covers Medicare prescriptions only.

What is Derek N. Cunningham, O.D.'s MIPS final score?

The 2023 MIPS final score is 0 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.