DR. DEREK WAYNE ASHBY (OD) – Optometrist, NPI 1700048329

DR. DEREK WAYNE ASHBY (OD) is a healthcare provider. based in Canon city, Colorado. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT-2652 (CO). The NPI Number for DR. DEREK WAYNE ASHBY (OD) is 1700048329

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK WAYNE ASHBY (OD)
NPI
1700048329
Phone
(719) 276-0344
Address
326 DOZIER AVE
Enumeration Date
25 June 2008
Last Update Date
28 June 2013

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7195821525
Graduation Year
2008 (18 years ago)
PAC ID
6608936190
Group Practice PAC ID
9739314618
Professional Enrollment ID
I20081113000218
Address ID
CO810076345PU50XXXAVEX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

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Provider Addresses for DR. DEREK WAYNE ASHBY (OD)

  • 326, Dozier Avenue, Cañon City, Fremont County, Colorado, 81212, United States

    CANON CITY, CO 812122706

    Phone: (719) 276-0344

    Fax: (719) 269-7446

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $206.

Total Amount is formed as General ($206) + Research ($0) + Ownership ($0) = $206.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: CooperVision Inc. ($109).

Total Amount

$206

General + Research + Ownership

Payments

6

Total payment records

General Amount

$206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081113000218IOptometryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system108106$0
92012Established patient problem focused exam of visual system7051$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
92004New patient complete exam of visual system1818$0
92134Imaging of retina1616$0
View full utilization report →

Insurance plans in this area (ZIP 81212)

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Provider's Procedures

DR. DEREK WAYNE ASHBY (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYCO92134Diagnostic imaging of retina3029

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739314618View full group profile
NameSpecialtyState
O P T O M E T R YCO

Reviews

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Frequently asked questions

What identifier follows DR. DEREK WAYNE ASHBY (OD) across health systems?
The NPI 1700048329 uniquely identifies DR. DEREK WAYNE ASHBY (OD) in U.S. healthcare data.
Should I treat DR. DEREK WAYNE ASHBY (OD) as an active provider?
Patients and plans typically see DR. DEREK WAYNE ASHBY (OD) as active in the national extract.
Which specialty label fits DR. DEREK WAYNE ASHBY (OD)?
NPPES ties DR. DEREK WAYNE ASHBY (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. DEREK WAYNE ASHBY (OD) in Canon City, Colorado?
For routing, start with Canon City, Colorado for DR. DEREK WAYNE ASHBY (OD), then verify phone and hours locally.
Can I export DR. DEREK WAYNE ASHBY (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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