DR. DEREK ALAN WALTON (OD) – Optometrist, NPI 1295019339

DR. DEREK ALAN WALTON (OD) is a healthcare provider. based in Spanish fork, Utah. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 8527006-9934 (UT). The NPI Number for DR. DEREK ALAN WALTON (OD) is 1295019339

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK ALAN WALTON (OD)
NPI
1295019339
Phone
(801) 798-3557
Address
955 N Main St
Enumeration Date
7 October 2011
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
3078563937
Graduation Year
2011 (15 years ago)
PAC ID
1254504988
Group Practice PAC ID
7416222781
Professional Enrollment ID
I20111025000697
Address ID
WY825014413RI400XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

312 OPTOMETRY in UT

Provider Addresses for DR. DEREK ALAN WALTON (OD)

  • 955 N Main St

    Spanish Fork, UT 846601150

    Phone: (801) 798-3557

    Fax: (801) 798-1182

    Type: Location

  • 400 E ADAMS AVE

    RIVERTON, WY 825014413

    Phone: (307) 856-3937

    Fax: (307) 856-1306

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Alcon Vision LLC ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$27
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: 2011-10-25

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
I20111025000697IOptometryWYTBD

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 minutes13878$0
92014Established patient complete exam of visual system9493$0
92133Imaging of optic nerve3433$0
92134Imaging of retina3331$0
92250Photography of the retina3232$0
View full utilization report →

Insurance plans in this area (ZIP 84660)

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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: 7416222781View full group profile
NameSpecialtyState
-WY
O P T O M E T R YCO

Reviews

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Frequently asked questions

What is the registry number for DR. DEREK ALAN WALTON (OD)?
The registry entry for DR. DEREK ALAN WALTON (OD) shows NPI 1295019339.
Is DR. DEREK ALAN WALTON (OD) currently accepting referrals based on NPI status?
Registry metadata lists DR. DEREK ALAN WALTON (OD) as active.
How should patients interpret DR. DEREK ALAN WALTON (OD)'s specialty?
The extract shows Optometrist for DR. DEREK ALAN WALTON (OD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. DEREK ALAN WALTON (OD) in Spanish Fork, Utah?
For routing, start with Spanish Fork, Utah for DR. DEREK ALAN WALTON (OD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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