DEREK YANG HAN – Ophthalmology Physician, NPI 1487073953

DEREK YANG HAN is a healthcare provider. based in Fort worth, Texas. specializing in OPHTHALMOLOGY. They hold a License No. R4975 (TX). The NPI Number for DEREK YANG HAN is 1487073953

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DEREK YANG HAN
NPI
1487073953
Phone
(817) 332-2020
Address
1201 SUMMIT AVE
Enumeration Date
14 April 2014
Last Update Date
5 October 2018

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8173322020
Graduation Year
2014 (12 years ago)
PAC ID
3577861095
Group Practice PAC ID
4587578364
Professional Enrollment ID
I20180925003843
Address ID
TX761024413FO1201XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

958 OPHTHALMOLOGY in IL

Provider Addresses for DEREK YANG HAN

  • 1201 SUMMIT AVE

    FORT WORTH, TX 761024413

    Phone: (817) 332-2020

    Fax: (817) 332-4797

    Type: Mailing

  • 3249 Oak Park Ave

    Berwyn, IL 604023429

    Phone: (832) 758-9060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $279.

Total Amount is formed as General ($279) + Research ($0) + Ownership ($0) = $279.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: CooperVision Inc. ($106).

Total Amount

$279

General + Research + Ownership

Payments

9

Total payment records

General Amount

$279

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2018-09-25

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
I20180925003843IOphthalmologyTXTBD

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 system482448$0
92250Photography of the retina262244$0
92004New patient complete exam of visual system179179$0
92136Measurement of corneal curvature and depth of eye13280$0
66984Removal of cataract with insertion of prosthetic lens13078$0
View full utilization report →

Insurance plans in this area (ZIP 76102)

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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: 4587578364View full group profile
NameSpecialtyState
-TX
-TX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P T O M E T R YTX
O P H T H A L M O L O G YTX
O P T O M E T R YTX
O P H T H A L M O L O G YTX
Internal MedicineTX

Reviews

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Frequently asked questions

What is the registry number for DEREK YANG HAN?
The registry entry for DEREK YANG HAN shows NPI 1487073953.
Is DEREK YANG HAN currently accepting referrals based on NPI status?
Registry metadata lists DEREK YANG HAN as active.
Which specialty label fits DEREK YANG HAN?
NPPES ties DEREK YANG HAN to Ophthalmology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DEREK YANG HAN tied to Fort Worth, Texas?
If you are local to Fort Worth, Texas, DEREK YANG HAN may be relevant to your search.
Who maintains DEREK YANG HAN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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