DERON J RICKS (PA) – Physician Assistant, NPI 1639156573
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
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Provider Addresses for DERON J RICKS (PA)
Idaho Falls Post Office, 4th Street, Idaho Falls, Bonneville County, Idaho, 83401, United States
IDAHO FALLS, ID 834041647
Phone: (208) 535-4130
Fax: (208) 535-4125
Type: Mailing
Eastern Idaho Regional Medical Center, 3100, Channing Way, Idaho Falls, Bonneville County, Idaho, 83404, United States
STE 115
IDAHO FALLS, ID 834041647
Phone: (208) 535-4130
Fax: (208) 535-4125
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $1,529.
Total Amount is formed as General ($1,529) + Research ($0) + Ownership ($0) = $1,529.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($474).
Total Amount
$1,529
General + Research + Ownership
Payments
81
Total payment records
General Amount
$1,529
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $474 |
| Axsome Therapeutics, Inc. | $224 |
| Stryker Corporation | $80 |
| Astellas Pharma US Inc | $68 |
| GlaxoSmithKline, LLC. | $63 |
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: 2004-08-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040809000323 | I | Physician Assistant | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 249 | 170 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 144 | 27 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 118 | 86 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 90 | 63 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 76 | 64 | $0 |
Insurance plans in this area (ZIP 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Osteopathic Manipulative Medicine | WY | |
| Physical Medicine And Rehabilitation | ID | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | ID | |
| Qualified Audiologist | ID | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | ID | |
| Nurse Practitioner | ID |
Reviews
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