DEREK BUSENBARK AMES O.D.
NPI 1174836431
Optometrist in St George, UT

Q: What is Derek Ames's NPI number?

The NPI number for Derek Ames is 1174836431. It was assigned to this individual provider in the NPPES registry on July 15, 2010.

Q: What is Derek Ames's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Ames was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 15, 2010PECOS Enrolled

2610 PIONEER RD, ST GEORGE, UT 84790(435) 674-9770(435) 674-9771 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Derek Busenbark Ames O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK BUSENBARK AMES O.D. (NPI 1174836431) is an individual optometrist in St George, Utah, licensed in Utah (7693840-9934) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2010).

NPPES Registry Identity

NPI1174836431

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDEREK BUSENBARK AMESCredential: O.D.

Location Address2610 PIONEER RDSt George, UT 84790-7442

Mailing Address2610 Pioneer RdSt George, UT 84790-7442 · (435) 674-9770 · Fax (435) 674-9771

Phone(435) 674-9770

Fax(435) 674-9771

Sole ProprietorNo

Medical School CMSPacific University - College Of OptometryGraduated 2010

Enumeration DateJuly 15, 2010

Last NPPES UpdateJune 14, 2012

✔ NPI 1174836431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in UT · 7693840-9934

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2610 PIONEER RD, St George, UT 84790

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Busenbark Ames O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446384895

PECOS Enrollment IDI20100820000145

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

161 services156 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

128 services124 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

77 services77 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

52 services37 patients

Exam to measure eye deviation and range of motion 92060

This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.

14 services14 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier14 claims14 services$52.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMES EYECARE, INC.

Optometrist

2610 PIONEER RD
ST GEORGE, UT 84790

Washington County (435) 674-9770

STEVEN JOHN BAHR PHARM.D.

Pharmacist

2610 PIONEER RD
SAINT GEORGE, UT 84790

Washington County (435) 674-5792

HARLIN OPTOMETRY, PLLC

Optometrist

2610 PIONEER RD
ST GEORGE, UT 84790

Washington County (435) 674-9770

JOHN EDWARD PATTON

Pharmacist

2610 PIONEER RD
ST GEORGE, UT 84790

Washington County (435) 674-5792

DEWARD LEON HALL BS PHARMACY

Pharmacist

2610 PIONEER RD
ST GEORGE, UT 84790

Washington County (435) 674-5792

WALMART INC.

Pharmacy (Community/Retail Pharmacy)

2610 PIONEER RD
ST GEORGE, UT 84790

Washington County (435) 674-5792

CHAD CHRISTOPHER MAXFIELD

Pharmacist

2610 PIONEER RD
ST GEORGE, UT 84790

Washington County (435) 674-5792

WAL-MART STORES, INC

Eyewear Supplier

2610 PIONEER RD
ST GEORGE, UT 84790

Washington County (435) 674-0459

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Ames's NPI number?

The NPI number for Derek Ames is 1174836431. It was assigned to this individual provider in the NPPES registry on July 15, 2010.

Where is Derek Ames located?

Derek Ames practices at 2610 Pioneer Rd, St George, UT 84790. The listed phone number is (435) 674-9770.

What is Derek Ames's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Derek Ames enrolled in Medicare?

Yes. Derek Ames is registered in the Medicare PECOS enrollment system.

What insurance does Derek Ames accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Select Health and University of Utah Health Plans list Derek Ames as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Ames was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.