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DEREK L VANHILLE MD
NPI 1205254885
Otolaryngology in Bountiful, UT

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
1551 RENAISSANCE TOWNE DR STE 310, BOUNTIFUL, UT 84010(801) 295-5581(801) 295-9253 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2020, Jul 2, 2019, Apr 25, 2019 (3 updates tracked since 2019).

About Derek L Vanhille Md NPPES

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

DEREK L VANHILLE MD (NPI 1205254885) is an individual otolaryngology provider in Bountiful, Utah, licensed in Utah (11163441-1205) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (2014).

NPPES Registry Identity

NPI1205254885
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDEREK L VANHILLECredential: MD
Location Address1551 RENAISSANCE TOWNE DR STE 310Bountiful, UT 84010-7671
Mailing AddressPo Box 5546Denver, CO 80217-5546 · (801) 475-3500 · Fax (801) 475-3489
Phone(801) 295-5581
Fax(801) 295-9253
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2014
Enumeration DateApril 1, 2014
Last NPPES UpdateMarch 14, 20243 updates tracked since enumeration
NPPES CertifiedMarch 14, 2024
✔ NPI 1205254885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in UT · 11163441-1205
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1551 RENAISSANCE TOWNE DR STE 310, Bountiful, UT 84010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derek L Vanhille Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325336993
PECOS Enrollment IDI20190703001489, I20251229000615
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 6

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.

Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
73 services22 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.
41 services39 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
30 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Lakeview Hospital

Acute Care Hospitals · Bountiful, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460042
Location630 East Medical DriveBountiful, UT 84010 · Davis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 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.

Other Providers at the Same Location NPPES 2

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

KARI L LOEHR AUD
Audiologist
1551 RENAISSANCE TOWNE DR STE 310
BOUNTIFUL, UT 84010
Davis County (801) 295-5581
DR. JOSHUA BRIAN BRADSHAW M.D.
Otolaryngology
1551 RENAISSANCE TOWNE DR STE 310
BOUNTIFUL, UT 84010
Davis County (801) 295-5581

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 Vanhille's NPI number?

The NPI number for Derek Vanhille is 1205254885. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Derek Vanhille located?

Derek Vanhille practices at 1551 Renaissance Towne Dr Ste 310, Bountiful, UT 84010. The listed phone number is (801) 295-5581.

What is Derek Vanhille's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Derek Vanhille enrolled in Medicare?

Yes. Derek Vanhille is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Derek Vanhille accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Sanford Health Plan and 2 other insurers list Derek Vanhille 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.

Is Derek Vanhille affiliated with any hospitals?

According to CMS data, Derek Vanhille is affiliated with Sanford Bemidji Medical Center and Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Derek Vanhille was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.