DEREK GURLEY (OD) – Optometrist, NPI 1154994655

DEREK GURLEY (OD) is a healthcare provider. based in Ada, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3128 (OK). The NPI Number for DEREK GURLEY (OD) is 1154994655

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DEREK GURLEY (OD)
NPI
1154994655
Phone
(580) 332-5606
Address
1433 ARLINGTON ST
Enumeration Date
21 July 2021
Last Update Date
26 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5803325606
Graduation Year
2021 (5 years ago)
PAC ID
7517360472
Group Practice PAC ID
6305970708
Professional Enrollment ID
I20210729002094
Address ID
OK748202636AD1433XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

684 OPTOMETRY in OK

Provider Addresses for DEREK GURLEY (OD)

  • 1433 ARLINGTON ST

    ADA, OK 748202636

    Phone: (580) 332-5606

    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 2 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Alcon Vision LLC ($22).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

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: 2021-07-29

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
I20210729002094IOptometryOKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6643$0
92004New patient complete exam of visual system5454$0
92014Established patient complete exam of visual system4646$0
92134Imaging of retina3726$0
92250Photography of the retina2725$0
View full utilization report →

Insurance plans in this area (ZIP 74820)

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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: 6305970708View full group profile
NameSpecialtyState
O P T O M E T R YOK

Reviews

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Frequently asked questions

What federal number belongs to DEREK GURLEY (OD)?
The federal identifier for DEREK GURLEY (OD) is NPI 1154994655.
Is DEREK GURLEY (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DEREK GURLEY (OD) work in?
You can think of DEREK GURLEY (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Does DEREK GURLEY (OD) practice in Oklahoma?
You will see Ada, Oklahoma on file for DEREK GURLEY (OD) alongside any extra practice locations.
How can I contact DEREK GURLEY (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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