ELIZABETH DERHAM (MD) – Ophthalmology Physician, NPI 1144481060
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,144 OPHTHALMOLOGY in PA
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Provider Addresses for ELIZABETH DERHAM (MD)
1230, Walnut Street, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States
PHILADELPHIA, PA 191075109
Phone: (215) 928-3041
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 12 Open Payments records for all available years, with a total value of $768.
Total Amount is formed as General ($768) + Research ($0) + Ownership ($0) = $768.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Alcon Vision LLC ($550).
Total Amount
$768
General + Research + Ownership
Payments
12
Total payment records
General Amount
$768
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $550 |
| Glaukos Corporation | $194 |
| Bausch & Lomb Americas Inc. | $25 |
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: 2014-09-24
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 |
|---|---|---|---|---|
| I20140924000214 | I | Ophthalmology | PA | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 273 | 264 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 162 | 148 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 157 | 135 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 82 | 78 | $0 |
| 92133 | Imaging of optic nerve | 82 | 78 | $0 |
Insurance plans in this area (ZIP 19107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | NJ | |
| O P H T H A L M O L O G Y | PA | |
| O P H T H A L M O L O G Y | PA | |
| - | PA | |
| O P H T H A L M O L O G Y | PA | |
| O P H T H A L M O L O G Y | PA | |
| N E U R O L O G Y | PA | |
| O P H T H A L M O L O G Y | PA | |
| - | PA | |
| O P H T H A L M O L O G Y | PA |
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