DR. DERICK R FENTON (MD) – Gynecology Physician, NPI 1750673539

DR. DERICK R FENTON (MD) is a healthcare provider. based in Montrose, Colorado. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 14257374-1205 (UT). The NPI Number for DR. DERICK R FENTON (MD) is 1750673539

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. DERICK R FENTON (MD)
NPI
1750673539
Phone
(970) 249-6737
Address
715 S 3RD
Enumeration Date
11 May 2011
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4806640125
Graduation Year
2011 (15 years ago)
PAC ID
0446551246
Group Practice PAC ID
5799909263
Professional Enrollment ID
I20240618004171
Address ID
AZ852516409SC7545XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:15State licenses:2Digital endpointsOther names

358 OBSTETRICS/GYNECOLOGY in UT

Provider Addresses for DR. DERICK R FENTON (MD)

  • 715 S 3RD

    MONTROSE, CO 81401

    Phone: (970) 249-6737

    Fax: (970) 252-0112

    Type: Mailing

  • 5655 E BEVERLY LN

    SCOTTSDALE, AZ 852549206

    Phone: (248) 508-1266

    Type: Mailing

  • 5417 S COMMERCE DR STE 100

    MURRAY, UT 841075803

    Phone: (248) 508-1266

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $16,018.

Total Amount is formed as General ($16,018) + Research ($0) + Ownership ($0) = $16,018.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($15,628).

Total Amount

$16,018

General + Research + Ownership

Payments

23

Total payment records

General Amount

$16,018

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2024-06-18

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
I20240618004171IObstetrics/GynecologyAZTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4332$0
99213Established patient office or other outpatient visit, 20-29 minutes2716$0
View full utilization report →

Insurance plans in this area (ZIP 81401)

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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: 5799909263View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YAZ
O T O L A R Y N G O L O G YAZ

Reviews

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Frequently asked questions

What identifier follows DR. DERICK R FENTON (MD) across health systems?
The NPI 1750673539 uniquely identifies DR. DERICK R FENTON (MD) in U.S. healthcare data.
Is DR. DERICK R FENTON (MD)'s NPI status active today?
Active status means DR. DERICK R FENTON (MD)'s NPI record is not deactivated in the public file.
What services align with DR. DERICK R FENTON (MD)'s listing?
DR. DERICK R FENTON (MD)'s public classification highlights Gynecology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. DERICK R FENTON (MD)?
The directory associates DR. DERICK R FENTON (MD) with Montrose, Colorado. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. DERICK R FENTON (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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