DEREK JAMES BLANKENSHIP – Optometrist, NPI 1215414198

DEREK JAMES BLANKENSHIP is a healthcare provider. based in Pendleton, Oregon. specializing in OPTOMETRY. They hold a License No. 4367AT (OR). The NPI Number for DEREK JAMES BLANKENSHIP is 1215414198

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DEREK JAMES BLANKENSHIP
NPI
1215414198
Phone
(541) 519-0679
Address
1815 SW EMIGRANT AVE
Enumeration Date
24 July 2018
Last Update Date
24 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5415235858
Graduation Year
2018 (8 years ago)
PAC ID
8022357359
Group Practice PAC ID
4880682012
Professional Enrollment ID
I20190305001439
Address ID
OR978142609BA2150XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

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Provider Addresses for DEREK JAMES BLANKENSHIP

  • Southwest Emigrant Avenue, Pendleton, Umatilla County, Oregon, 97801, United States

    PENDLETON, OR 978011843

    Phone: (541) 519-0679

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-03-05

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
I20190305001439IOptometryORTBD

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 system331330$0
99214Established patient office or other outpatient visit, 30-39 minutes233192$0
92134Imaging of retina194157$0
99213Established patient office or other outpatient visit, 20-29 minutes173131$0
92250Photography of the retina138124$0
View full utilization report →

Insurance plans in this area (ZIP 97801)

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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: 4880682012View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P T O M E T R YOR

Reviews

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Frequently asked questions

Is DEREK JAMES BLANKENSHIP listed with a National Provider Identifier?
Yes — DEREK JAMES BLANKENSHIP has NPI 1215414198 on file in the registry.
Is DEREK JAMES BLANKENSHIP still an active registrant?
DEREK JAMES BLANKENSHIP carries an active NPI according to the public dataset.
What expertise is attributed to DEREK JAMES BLANKENSHIP?
DEREK JAMES BLANKENSHIP's specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is DEREK JAMES BLANKENSHIP located near Pendleton?
DEREK JAMES BLANKENSHIP currently maps to Pendleton, Oregon in this extract.
When was this NPI issued?
Enumeration for DEREK JAMES BLANKENSHIP is noted as July 24, 2018 where the registry provides it.

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