Derek Busenbark Ames, O.D.
NPI 1174836431ActiveIndividual· Optometrist· St George, UT
Optometrist (O.D.) in St George, Utah, trained at Pacific University - College of Optometry (class of 2010). In 2024 Medicare paid $27,884 for 277 patients, and Part D covered 83 of their prescriptions, 60% of them generic. Coopervision Inc. reported $26.92 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1174836431 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jul 15, 2010 |
| Last updated in NPPES | Jun 14, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 7693840-9934 | UT |
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 (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 277 |
|---|---|
| Services billed | 482 across 13 procedure codes |
| Paid by Medicare | $27,884 |
Part D prescriptions in 2024
| Prescriptions (claims) | 83 · 103 30-day fills |
|---|---|
| Patients | 41 |
| Total drug cost | $8,027 |
| Generic share | 60% of claims |
Education and affiliations
| Medical school | Pacific University - College of Optometry |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Optometry |
Industry payments (Open Payments)
- 2024$26.92 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Coopervision Inc. | $26.92 | 2 |
What the 2024 payments were for
- Food and Beverage$26.92 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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