Derek Michael Phelps, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002423 Issued in AZ

Practice address

1215 W Rio Salado Pkwy Ste 101
Tempe, AZ 85281-2954

Phone

(480) 480-2020

Fax

(480) 612-0150

NPI assigned

Jun 26, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Verdier Eye Center PLCGroup PAC ID 0042203960, 9 clinicians

Eye Consultants and Surgeons of Arizona LLCGroup PAC ID 5496194003, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.69 of 100Reported as group

Quality

94.84

Improvement activities

40

Cost

75.84

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: derek.phelpsod.p1@direct.verdiereyecenter.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Consultants and Surgeons of Arizona LLC

  • Ophthalmology Physician
  • Tempe, AZ
  • NPI 1942078969
  Medicare reassignment Care Compare group NPD
• Verdier Eye Center, PLC

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1578505160

  Optometrist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1316508708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W RIO SALADO PKWY STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812954",
            "telephone_number": "480-480-2020",
            "fax_number": "480-612-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W RIO SALADO PKWY STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812954",
            "telephone_number": "480-480-2020",
            "fax_number": "480-612-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "DEREK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005485",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006797",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT002423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Pham
• Kimberly Pham, PHARMD
• Thu Thuy Thi Pham, RDH
• Tracey Diep Pham, PHARMD
• Ashley Marie Phelps, R.N.
• Penny L Philippi, CSFA
• Lonnie J Phillips-Jackson
• Betty J Phillips, R.N.
• Vernie Phillips, III
• Jada Phillips

• Optometrist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.