DEREJE AYO (M.D.) – Pulmonary Disease Physician, NPI 1295705325

DEREJE AYO (M.D.) is a healthcare provider. based in Fort worth, Texas. specializing in PULMONARY DISEASE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. N0617 (TX). The NPI Number for DEREJE AYO (M.D.) is 1295705325

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DEREJE AYO (M.D.)
NPI
1295705325
Phone
(817) 336-8773
Address
800 8th Ave Ste 412
Enumeration Date
23 January 2006
Last Update Date
8 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175688411
Graduation Year
1993 (33 years ago)
PAC ID
1254358450
Group Practice PAC ID
6204007123
Professional Enrollment ID
I20090109000031
Address ID
TX760288460BU11803FWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,186 PULMONARY DISEASE in TX

Provider Addresses for DEREJE AYO (M.D.)

  • 800 8th Ave Ste 412

    Fort Worth, TX 761042618

    Phone: (817) 336-8773

    Fax: (817) 338-1063

    Type: Location

  • South Freeway, Burleson, Tarrant County, Texas, 76028-4910, United States

    SUITE 330

    BURLESON, TX 760287035

    Phone: (817) 293-1900

    Fax: (817) 293-4930

    Type: Mailing

  • PO BOX 16284

    FORT WORTH, TX 761620284

    Phone: (817) 568-8411

    Fax: (817) 568-8414

    Type: Mailing

  • 11803 SOUTH FWY STE 311

    BURLESON, TX 760287036

    Phone: (817) 568-8411

    Fax: (817) 568-8414

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 149 Open Payments records for all available years, with a total value of $3,408.

Total Amount is formed as General ($3,408) + Research ($0) + Ownership ($0) = $3,408.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($856).

Total Amount

$3,408

General + Research + Ownership

Payments

149

Total payment records

General Amount

$3,408

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2009-01-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090109000031IPulmonary DiseaseTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,145320$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes540196$0
99214Established patient office or other outpatient visit, 30-39 minutes384184$0
99291Critical care, first 30-74 minutes16799$0
J1100Injection, dexamethasone sodium phosphate, 1 mg13225$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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Provider's Procedures

DEREJE AYO (M.D.) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASETX95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube3736

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: 6204007123View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DEREJE AYO (M.D.) in U.S. healthcare records?
The official identifier for DEREJE AYO (M.D.) is NPI 1295705325.
Active or inactive — what applies to DEREJE AYO (M.D.)?
You should see DEREJE AYO (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DEREJE AYO (M.D.)?
At a glance, DEREJE AYO (M.D.) is tied to Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Is DEREJE AYO (M.D.) located near Fort Worth?
DEREJE AYO (M.D.) currently maps to Fort Worth, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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