Derek Joseph Davenport, M.D.
NPI 1346484581ActiveIndividual· Pediatrics· Eagle Mountain, UT
Pediatrics (M.D.) with Revere Health PC, practicing in Eagle Mountain, Utah. Their prescriptions cost Medicare Part D more than their services did: $530,670 for 3,919 claims, against $51,262 paid for services in 2024. Boston Scientific Corporation was the largest of 3 companies reporting payments in 2025, $55.64 in all, mostly food and beverage.
Overview
| NPI | 1346484581 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 30, 2009 |
| Last updated in NPPES | Nov 27, 2023 |
| Certified by provider | Jun 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 11327523-1205 | UT |
| Internal Medicine | 207R00000X | 11327523-1205 | UT |
| Internal Medicine | 207R00000X | MD162235 | OR |
| Pediatrics | 208000000X | MD162235 | OR |
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 - Pediatric Medicine (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 126 |
|---|---|
| Services billed | 2,445 across 74 procedure codes |
| Paid by Medicare | $51,262 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,919 · 10,198 30-day fills |
|---|---|
| Patients | 281 |
| Total drug cost | $530,670 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Pediatric Medicine |
| Secondary specialties | Internal Medicine |
Medical group
- Revere Health PCProvo, UT · 410 clinicians
Other facilities
- Intermountain Homecare Home Health Salt LakeHome health agency · South Jordan, UT
Industry payments (Open Payments)
- 2025$55.64 · 3 payments from 3 companies
- 2024$19.31 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $20.49 | 1 |
| Abbvie Inc. | $19.24 | 1 |
| Amgen Inc. | $15.91 | 1 |
What the 2025 payments were for
- Food and Beverage$55.64 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pediatrics providers in Eagle Mountain
- 1396322699
- 1992440143