DR. DEREK MICHAEL PHELPS OD
NPI 1316508708
Optometrist in Tempe, AZ

Q: What is Derek Phelps's NPI number?

The NPI number for Derek Phelps is 1316508708. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Q: What is Derek Phelps'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 Phelps was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 June 26, 2019PECOS EnrolledAccepts Medicare Assignment

88.62/100

CMS Quality Rating

1215 W RIO SALADO PKWY STE 101, TEMPE, AZ 85281(480) 480-2020(480) 612-0150 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2025, Aug 5, 2020 (2 updates tracked since 2020).

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About Dr. Derek Michael Phelps Od NPPES

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

DR. DEREK MICHAEL PHELPS OD (NPI 1316508708) is an individual optometrist in Tempe, Arizona, licensed in Arizona (OPT002423) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2019).

NPPES Registry Identity

NPI1316508708

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. DEREK MICHAEL PHELPSCredential: OD

Location Address1215 W RIO SALADO PKWY STE 101Tempe, AZ 85281-2954

Mailing Address1215 W Rio Salado Pkwy Ste 101Tempe, AZ 85281-2954 · (480) 480-2020 · Fax (480) 612-0150

Phone(480) 480-2020

Fax(480) 612-0150

Sole ProprietorNo

Medical School CMSIndiana University - School Of OptometryGraduated 2019

Enumeration DateJune 26, 2019

Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration

NPPES CertifiedMarch 20, 2025

✔ NPI 1316508708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in AZ · OPT002423✔ Licensed in MI · 4901005485✔ Licensed in OH · OPT.006797

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.

1215 W RIO SALADO PKWY STE 101, Tempe, AZ 85281

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Derek Michael Phelps Od 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 ID547681983

PECOS Enrollment IDI20200810000082, I20250117003587

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.

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.

122 services83 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.

35 services35 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.

34 services30 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

25 services23 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

18 services17 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85281 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

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.

88.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

94.67

Improvement Activities

Cost

69.18

Other Providers at the Same Location NPPES 3

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

DR. JON A. KONTI M.D.

Ophthalmology

1215 W RIO SALADO PKWY STE 101
TEMPE, AZ 85281

Maricopa County (480) 480-2020

DR. MADELINE BEVERLY HOGAN MD

Ophthalmology

1215 W RIO SALADO PKWY STE 101
TEMPE, AZ 85281

Maricopa County (480) 480-2020

EYE CONSULTANTS AND SURGEONS OF ARIZONA LLC

Ophthalmology

1215 W RIO SALADO PKWY STE 101
TEMPE, AZ 85281

Maricopa County (480) 717-8580

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 Phelps's NPI number?

The NPI number for Derek Phelps is 1316508708. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Derek Phelps located?

Derek Phelps practices at 1215 W Rio Salado Pkwy Ste 101, Tempe, AZ 85281. The listed phone number is (480) 480-2020.

What is Derek Phelps's specialty?

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

Is Derek Phelps enrolled in Medicare?

Yes. Derek Phelps 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 Phelps accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Arizona, Inc. and Blue Cross Blue Shield of Arizona and 4 other insurers list Derek Phelps 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 Phelps was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.