DEREK DENNEY M.D.
NPI 1821467895
Ophthalmology in St George, UT

Active since September 21, 2015PECOS EnrolledAccepts Medicare Assignment
22.43/100
CMS Quality Rating
1791 E 280 N, ST GEORGE, UT 84790(435) 656-2020 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2024, Jul 8, 2019 (2 updates tracked since 2019).

About Derek Denney M.d. NPPES

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

DEREK DENNEY M.D. (NPI 1821467895) is an individual ophthalmology provider in St George, Utah, licensed in Utah (1116866866) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Medical College Of Wisconsin (2015).

NPPES Registry Identity

NPI1821467895
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDEREK DENNEYCredential: M.D.
Location Address1791 E 280 NSt George, UT 84790-2400
Mailing Address1791 E 280 NSt George, UT 84790-2400 · (435) 656-2020
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2015
Enumeration DateSeptember 21, 2015
Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
NPI 1821467895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in UT · 1116866866
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1791 E 280 N, St George, UT 84790

Secondary Practice Locations 2

Location 11301 Bertha Howe Ave Ste 11Mesquite, NV 89027-7503 · Phone (702) 346-9175
Location 21160 W Michigan StIndianapolis, IN 46202-5209 · Phone (317) 944-2020

Other Identifiers 1

Medicaid1821467895UT

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 Denney M.d. 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 ID3072803592
PECOS Enrollment IDI20190819002718
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 18

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.
737 services689 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.
394 services273 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.
347 services302 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
258 services241 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
241 services146 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
217 services113 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.

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.

22.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost74.78

Other Providers at the Same Location NPPES 14

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

Ophthalmology
1791 E 280 N
SAINT GEORGE, UT 84790
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
1791 E 280 N
ST GEORGE, UT 84790
Clinic/Center (Multi-Specialty)
1791 E 280 N
ST GEORGE, UT 84790
Nurse Anesthetist, Certified Registered
1791 E 280 N
ST GEORGE, UT 84790
Specialist
1791 E 280 N
SAINT GEORGE, UT 84790
Ophthalmology
1791 E 280 N
ST GEORGE, UT 84790
Optometrist
1791 E 280 N
ST GEORGE, UT 84790
Ophthalmology (Cornea and External Diseases Specialist)
1791 E 280 N
SAINT GEORGE, UT 84790

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 Denney's NPI number?

The NPI number for Derek Denney is 1821467895. It was assigned to this individual provider in the NPPES registry on September 21, 2015.

Where is Derek Denney located?

Derek Denney practices at 1791 E 280 N, St George, UT 84790. The listed phone number is (435) 656-2020.

What is Derek Denney's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Derek Denney enrolled in Medicare?

Yes. Derek Denney 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 Denney accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Select Health and University of Utah Health Plans list Derek Denney 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 Denney was last updated on January 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.