DEREK JAMES BLANKENSHIP
NPI 1215414198
Optometrist in Pendleton, OR
About Derek James Blankenship NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK JAMES BLANKENSHIP (NPI 1215414198) is an individual optometrist in Pendleton, Oregon, licensed in Oregon (4367AT) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Derek James Blankenship 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.
Medicare Billing Reassignment
Medicare enrollment records show Derek Blankenship reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baker City, OR 97814
- Reassigned Medicare billing, Oregon enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 14
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Blankenship's NPI number?
The NPI number for Derek Blankenship is 1215414198. It was assigned to this individual provider in the NPPES registry on July 24, 2018.
Where is Derek Blankenship located?
Derek Blankenship practices at 1815 SW Emigrant Ave, Pendleton, OR 97801. The listed phone number is (541) 519-0679.
What is Derek Blankenship's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Derek Blankenship enrolled in Medicare?
Yes. Derek Blankenship 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.
Which organization bills Medicare for Derek Blankenship's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Blankenship reassigns Medicare benefits to Baker Vision Clinic, Inc. (Baker City, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Blankenship's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Blankenship accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 5 other insurers list Derek Blankenship 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 Blankenship was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Derek James Blankenship · NPI 1215414198
Optometrist provider in Pendleton, Oregon. Individual provider, active in the CMS NPPES registry since July 24, 2018.
## Identity
- **NPI:** 1215414198 (Entity type: Individual)
- **Enumerated:** July 24, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4367AT (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1815 SW EMIGRANT AVE, Pendleton, OR 97801-1843
- **Phone:** (541) 519-0679
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Baker Vision Clinic, Inc. (NPI 1013063676, Baker City, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 24, 2018
- **Other identifiers:** Other 1487786455 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1215414198) · Data from the CMS NPPES public registry.