Derek P. Jacobsen
NPI 1124462593ActiveIndividual· Optometrist· Sun City West, AZ
Optometrist with Emilio Martin Justo MD PC, practicing in Sun City West, Arizona. Their prescriptions cost Medicare Part D more than their services did: $84,730 for 417 claims, against $50,631 paid for services in 2024. Glaukos Corporation was the largest of 7 companies reporting payments in 2025, $501.96 in all, mostly food and beverage.
Overview
| NPI | 1124462593 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 29, 2013 |
| Last updated in NPPES | Mar 1, 2021 |
| Certified by provider | Mar 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1933 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 478 |
|---|---|
| Services billed | 834 across 19 procedure codes |
| Paid by Medicare | $50,631 |
Part D prescriptions in 2024
| Prescriptions (claims) | 417 · 633 30-day fills |
|---|---|
| Patients | 185 |
| Total drug cost | $84,730 |
| Generic share | 41% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Optometry |
Medical group
- Emilio Martin Justo MD PCGilbert, AZ · 12 clinicians
Industry payments (Open Payments)
- 2025$501.96 · 10 payments from 7 companies
- 2024$822.29 · 23 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaukos Corporation | $221.93 | 1 |
| Coopervision Inc. | $90.56 | 1 |
| Tarsus Pharmaceuticals, Inc. | $57.44 | 2 |
| Alcon Vision LLC | $46.39 | 2 |
| Bausch & Lomb Americas Inc. | $34.25 | 2 |
What the 2025 payments were for
- Food and Beverage$501.96 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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