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Active NPI 1699143263 Individual Practitioner Male Practitioner

Derek Omori , PA

Physician Assistant • Riverton, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Derek Omori, PA is a certified Physician Assistant practicing in Riverton, UT. With approximately 11 years of clinical experience since completing medical education in 2015, Derek Omori delivers high-quality medical care to the local community at 3723 W 12600 S STE 450.

Derek Omori is affiliated with Ihc Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, x-ray of knee, 3 views, replacement of knee joint, both sides of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3723 W 12600 S Ste 450

Riverton, UT 840657296

Telephone 8012854673

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Riverton, UT

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +0.7 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Riverton, UT (1904 Statewide)

Telehealth Adoption Rate
23.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Omori (11 Years) 11 Yrs
Riverton Specialty Average (10.3 Years) 10.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
68 12 $3.00 $0.98
73562 X-ray of knee, 3 views
67 29 $95.07 $32.19
27447 Replacement of knee joint, both sides of knee
25 21 $1013.68 $161.65
20610 Aspiration and/or injection of fluid from large joint
23 15 $157.00 $47.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
21 16 $129.00 $45.39
99213 Established patient office or other outpatient visit, typically 15 minutes
13 12 $205.00 $69.84

Medical Specialties & State Licenses

CMS Verified: 2023-12-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

3723 W 12600, Riverton, UT 840657295

Phone: 8012852482

Ihc Health Services Inc

5323 S Woodrow St, Murray, UT 841075841

Phone: 8012618346

Ihc Health Services Inc

9450 S 1300, Sandy, UT 840945555

Phone: 8015016250

Ihc Health Services Inc

3723 W 1200, Riverton, UT 840657296

Phone: 8015357035

Ihc Health Services Inc

3741 W 12600, Riverton, UT 840657215

Ihc Health Services Inc

9450 S 1300, Sandy, UT 840945555

Phone: 8015073500

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Phone: 8013574600

Ihc Health Services Inc

3723 W 12600, Riverton, UT 840657296

Ihc Health Services Inc

2075 University Park Blvd, Layton, UT 840411611

Phone: 8013876200

Ihc Health Services Inc

2075 N 1200, Layton, UT 840411611

Phone: 8017796200

Ihc Health Services Inc

2075 N 1200, Layton, UT 840411611

Phone: 8017764444

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Rebecca Chador

Nurse Practitioner - Pediatrics

NPI 1639759103

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 24, 2023

Registered at 3723 W 12600 S STE 450, RIVERTON, UT 840657296 (Tel: 8012854673)

📍
Updated Business Mailing Address December 24, 2023

Registered at 3723 W 12600 S STE 450, RIVERTON, UT 840657296 (Tel: 8012854673)

📍
Updated Business Mailing Address July 12, 2019

Registered at PO BOX 5845, PORTLAND, OR 972285845

📍
Updated Business Mailing Address January 31, 2019

Registered at PO BOX 84088, SEATTLE, WA 981248488

NPI Profile Active February 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2016

Registered at 1427 116TH AVE NE, BELLEVUE, WA 980043807 (Tel: 4254629800)

📍
Updated Business Mailing Address February 06, 2016

Registered at 1427 116TH AVE NE, BELLEVUE, WA 980043807 (Tel: 4254629800)

👤
Provider Name / Credentials Updated February 06, 2016

Recorded as DEREK OMORI, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2016

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 12, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699143263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2015
Last Update: December 24, 2023
Sole Proprietor: No

Mailing Address

3723 W 12600 S Ste 450

Riverton, UT 840657296

Phone: 8012854673

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.