ANGELINE DERHAM (MD) – Ophthalmology Physician, NPI 1255795217
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,544 OPHTHALMOLOGY in TX
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Provider Addresses for ANGELINE DERHAM (MD)
5717, Balcones Drive, Highland Hills, Austin, Travis County, Texas, 78731, United States
AUSTIN, TX 787314203
Phone: (512) 314-1613
Fax: (512) 314-1661
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 61 Open Payments records for all available years, with a total value of $1,787.
Total Amount is formed as General ($1,787) + Research ($0) + Ownership ($0) = $1,787.
Last reported payment date: 2024-12-15 • Largest payer in this snapshot: ABBVIE INC. ($646).
Total Amount
$1,787
General + Research + Ownership
Payments
61
Total payment records
General Amount
$1,787
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $646 |
| Bausch & Lomb Americas Inc. | $274 |
| Alcon Vision LLC | $272 |
| RxSight Inc | $143 |
| Astellas Pharma US Inc | $130 |
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: 2020-09-01
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 |
|---|---|---|---|---|
| I20200901001311 | I | Ophthalmology | TX | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 156 | 135 | $0 |
| 92014 | Established patient complete exam of visual system | 130 | 130 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 48 | $0 |
| 92133 | Imaging of optic nerve | 55 | 45 | $0 |
| 92004 | New patient complete exam of visual system | 44 | 44 | $0 |
Insurance plans in this area (ZIP 78731)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | TX | |
| - | TX | |
| O P T O M E T R Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P T O M E T R Y | NY | |
| O P H T H A L M O L O G Y | LA | |
| O P H T H A L M O L O G Y | TX |
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