DEREK OMORI PA
NPI 1699143263
Physician Assistant in Riverton, UT

Active since September 12, 2015PECOS EnrolledAccepts Medicare Assignment
3723 W 12600 S STE 450, RIVERTON, UT 84065(801) 285-4673 Get Directions Write a Review

NPPES record last updated: December 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2019, Jan 31, 2019, Feb 6, 2016 and 1 more (4 updates tracked since 2016).

About Derek Omori Pa NPPES

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

DEREK OMORI PA (NPI 1699143263) is an individual physician assistant in Riverton, Utah and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Riverton Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1699143263
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDEREK OMORICredential: PA
Location Address3723 W 12600 S STE 450Riverton, UT 84065-7296
Mailing Address3723 W 12600 S Ste 450Riverton, UT 84065-7296 · (801) 285-4673
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 12, 2015
Last NPPES UpdateDecember 24, 20234 updates tracked since enumeration
NPPES CertifiedDecember 24, 2023
NPI 1699143263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3723 W 12600 S STE 450, Riverton, UT 84065

Accepted 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 Omori Pa 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 ID941581847
PECOS Enrollment IDI20190403002550
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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
68 services12 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
67 services29 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
25 services21 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
23 services15 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services16 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84065 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
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

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

Nurse Practitioner (Pediatrics)
3723 W 12600 S STE 450
RIVERTON, UT 84065

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 Omori's NPI number?

The NPI number for Derek Omori is 1699143263. It was assigned to this individual provider in the NPPES registry on September 12, 2015.

Where is Derek Omori located?

Derek Omori practices at 3723 W 12600 S Ste 450, Riverton, UT 84065. The listed phone number is (801) 285-4673.

What is Derek Omori's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Derek Omori enrolled in Medicare?

Yes. Derek Omori 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 Omori accept?

Health plans from Select Health list Derek Omori 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 Omori affiliated with any hospitals?

According to CMS data, Derek Omori is affiliated with Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Derek Omori was last updated on December 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.