DR. DEREK JOSEPH MELTON O.D.
NPI 1922058429
Optometrist in Fort Defiance, AZ
About Dr. Derek Joseph Melton O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEREK JOSEPH MELTON O.D. (NPI 1922058429) is an individual optometrist in Fort Defiance, Arizona, licensed in Missouri (MO2004006937) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Poplar Bluff.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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 (PECOS)
Dr. Derek Joseph Melton O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Derek Melton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Defiance, AZ 86504
- Reassigned Medicare billing, Texas enrollment
- 518 clinicians in this Medicare group
Durant, OK 74701
- Reassigned Medicare billing, Texas enrollment
- 581 clinicians in this Medicare group
Springfield, MO 65804
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Heffingtons House Of Vision Inc
- 9 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86504 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT DEFIANCE, AZ 86504
FORT DEFIANCE, AZ 86504
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 Melton's NPI number?
The NPI number for Derek Melton is 1922058429. It was assigned to this individual provider in the NPPES registry on May 12, 2006.
Where is Derek Melton located?
Derek Melton practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.
What is Derek Melton's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Derek Melton enrolled in Medicare?
Yes. Derek Melton is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Derek Melton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Melton reassigns Medicare benefits to 3 organizations: The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ), Choctaw Nation Of Oklahoma (Durant, OK) and Heffington's House Of Vision Inc (Springfield, MO). Each 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 Melton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Melton accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Derek Melton 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 Melton was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Derek Joseph Melton, O.D. · NPI 1922058429
Optometrist provider in Fort Defiance, Arizona. Individual provider, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1922058429 (Entity type: Individual)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** MO2004006937 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504
- **Phone:** (928) 729-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Fort Defiance Indian Hospital Board, Incorporation (NPI 1477876639, Fort Defiance, AZ); Choctaw Nation Of Oklahoma (NPI 1396173449, Durant, OK); Heffington's House Of Vision Inc (NPI 1861527251, Springfield, MO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2026
- **Other identifiers:** Medicaid 317617207 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1922058429) · Data from the CMS NPPES public registry.