DEREK L VANHILLE (MD) – Otolaryngology Physician, NPI 1205254885

DEREK L VANHILLE (MD) is a healthcare provider. based in Provo, Utah. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 11163441-1205 (UT). The NPI Number for DEREK L VANHILLE (MD) is 1205254885

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DEREK L VANHILLE (MD)
NPI
1205254885
Phone
(801) 354-8225
Address
1055 N 500 W
Enumeration Date
1 April 2014
Last Update Date
14 March 2024

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
2183335000
Graduation Year
2014 (12 years ago)
PAC ID
8325336993
Group Practice PAC ID
5597725168
Professional Enrollment ID
I20251229000615
Address ID
MN566016151BE1705XNWXX400

Contacts

Secure Messaging
medreview@reverehealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

123 OTOLARYNGOLOGY in UT

Provider Addresses for DEREK L VANHILLE (MD)

  • 1055 N 500 W

    ATTN: CREDENTIALING

    PROVO, UT 846043522

    Phone: (801) 354-8225

    Fax: (801) 418-0941

    Type: Mailing

  • 39 PROFESSIONAL WAY STE 1

    PAYSON, UT 84651

    Phone: (801) 465-4805

    Fax: (801) 465-4354

    Type: Location

  • PO BOX 5546

    DENVER, CO 802175546

    Phone: (801) 475-3500

    Fax: (801) 475-3489

    Type: Mailing

  • 1551 RENAISSANCE TOWNE DR STE 310

    BOUNTIFUL, UT 840107671

    Phone: (801) 295-5581

    Fax: (801) 295-9253

    Type: Location

  • 2132 N Robins Dr Ste 305

    Layton, UT 840417077

    Phone: (801) 776-2180

    Fax: (801) 776-2534

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $288.

Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($41).

Total Amount

$288

General + Research + Ownership

Payments

15

Total payment records

General Amount

$288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2025-12-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190703001489IOtolaryngologyUTTBD
I20251229000615IOtolaryngologyMNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5643$0
99203New patient office or other outpatient visit, 30-44 minutes4848$0
99204New patient office or other outpatient visit, 45-59 minutes4242$0
99214Established patient office or other outpatient visit, 30-39 minutes3736$0
69210Removal of impacted ear wax3027$0
View full utilization report →

Insurance plans in this area (ZIP 84604)

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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: 5597725168View full group profile
NameSpecialtyState
-MN
A N E S T H E S I O L O G YMN
Nurse PractitionerSD
-MN
Diagnostic RadiologyMN
N E U R O L O G YMN
-ND
-MN
O P T O M E T R YSD
Nurse PractitionerND

Reviews

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Frequently asked questions

How do I look up DEREK L VANHILLE (MD) by NPI?
Use NPI 1205254885 when you need to reference DEREK L VANHILLE (MD) in forms, claims, or directories.
Is DEREK L VANHILLE (MD) currently active in the NPI registry?
CMS-published data lists DEREK L VANHILLE (MD) as an active registrant.
What field does DEREK L VANHILLE (MD) work in?
You can think of DEREK L VANHILLE (MD) as practicing within Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where is DEREK L VANHILLE (MD)'s primary listing?
We display Provo, Utah because that is what the record indicates for DEREK L VANHILLE (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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