Active NPI 1174836431 Individual Practitioner Male Practitioner

Dr. Derek Busenbark Ames , OD

Optometrist • St George, UT

Professional Overview & Biography Verified Profile Summary

Dr. Derek Ames, OD is a certified Optometrist practicing in St George, UT. With approximately 16 years of clinical experience since graduating from Pacific University - College Of Optometry in 2010, Dr. Ames delivers high-quality medical care to the local community at 2610 PIONEER RD.

Dr. Ames does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2610 Pioneer Rd

St George, UT 847907442

Telephone 4356749770

Fax 4356749771

Associated Practice Facility / Clinic

🏢 Walmart Inc. Facility NPI 1669499851

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2010

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in St George, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -2.7 yrs vs City Avg

City Avg: 18.7 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

25 Specialists

Practicing in St George, UT (484 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ames (16 Years) 16 Yrs

St George Specialty Average (18.7 Years) 18.7 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
92014 Established patient complete exam of visual system	161	156	$170.00	$112.41
92250 Photography of the retina	128	124	$60.00	$32.86
92004 New patient complete exam of visual system	77	77	$170.00	$133.40
99213 Established patient office or other outpatient visit, typically 15 minutes	52	37	$100.00	$81.77
92060 Exam to measure eye deviation and range of motion	14	14	$60.00	$56.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$130.00	$115.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$130.00	$100.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	166	164	$170.00	$113.51
92250 Photography of the retina	97	95	$60.00	$33.36
92004 New patient complete exam of visual system	69	69	$170.00	$134.85
99213 Established patient office or other outpatient visit, typically 15 minutes	47	36	$100.00	$81.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	19	$80.00	$50.98
92060 Exam to measure eye deviation and range of motion	16	15	$60.00	$56.73
92012 Established patient problem focused exam of visual system	14	14	$130.00	$80.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	179	176	$160.67	$114.61
92004 New patient complete exam of visual system	106	106	$160.85	$136.03
92250 Photography of the retina	73	71	$60.00	$33.46
99213 Established patient office or other outpatient visit, typically 15 minutes	66	50	$91.06	$82.54
66984 Removal of cataract with insertion of lens	64	37	$250.00	$96.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	24	$70.25	$51.25
92060 Exam to measure eye deviation and range of motion	16	14	$60.00	$56.75
92012 Established patient problem focused exam of visual system	16	15	$121.25	$80.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	185	183	$160.00	$115.72
92004 New patient complete exam of visual system	101	101	$160.00	$137.82
92250 Photography of the retina	74	74	$80.00	$35.68
99213 Established patient office or other outpatient visit, typically 15 minutes	57	44	$90.00	$83.82
66984 Removal of cataract with insertion of lens	53	29	$300.00	$97.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	27	$70.00	$51.34
92012 Established patient problem focused exam of visual system	21	21	$120.00	$81.82
92060 Exam to measure eye deviation and range of motion	15	15	$60.00	$57.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	206	196	$160.00	$115.91
92250 Photography of the retina	96	92	$80.00	$41.09
92004 New patient complete exam of visual system	95	95	$160.00	$138.44
99213 Established patient office or other outpatient visit, typically 15 minutes	75	57	$90.00	$69.28
66984 Removal of cataract with insertion of lens	54	30	$300.00	$99.36
92060 Exam to measure eye deviation and range of motion	17	15	$60.00	$58.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	11	$70.00	$41.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	206	193	$160.00	$115.77
92004 New patient complete exam of visual system	118	118	$160.00	$138.41
92250 Photography of the retina	100	92	$80.00	$45.88
99213 Established patient office or other outpatient visit, typically 15 minutes	76	55	$86.58	$68.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	28	$116.00	$100.24
66984 Removal of cataract with insertion of lens	27	15	$300.00	$114.29
92060 Exam to measure eye deviation and range of motion	20	19	$60.00	$58.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$114.55	$100.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	179	173	$150.00	$109.37
92004 New patient complete exam of visual system	137	137	$150.00	$130.61
99213 Established patient office or other outpatient visit, typically 15 minutes	89	65	$80.00	$63.49
92250 Photography of the retina	71	66	$80.00	$48.82
66984 Removal of cataract with insertion of lens	53	29	$300.00	$109.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	29	$110.00	$93.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	17	$70.00	$37.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$110.00	$95.05
92060 Exam to measure eye deviation and range of motion	15	12	$60.00	$55.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	148	148	$150.00	$105.89
92004 New patient complete exam of visual system	130	130	$150.00	$127.45
99213 Established patient office or other outpatient visit, typically 15 minutes	118	82	$80.00	$62.93
92250 Photography of the retina	60	57	$80.00	$55.30
66984 Removal of cataract with insertion of lens	36	20	$300.00	$104.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	21	$63.20	$37.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	21	$110.00	$92.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$110.00	$93.67

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License UT 7693840-9934

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

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

3 Associated Practitioners

John Patton

Pharmacist

NPI 1255932117

Deward Hall , BS PHARMACY

Pharmacist

NPI 1386762813

BSPHARMACY

Chad Maxfield

Pharmacist

NPI 1861092934

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 14, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 14, 2012

Registered at 2610 PIONEER RD, ST GEORGE, UT 847907442 (Tel: 4356749770)

📍

Updated Business Mailing Address June 14, 2012

Registered at 2610 PIONEER RD, ST GEORGE, UT 847907442 (Tel: 4356749770)

👤

Provider Name / Credentials Updated June 14, 2012

Recorded as DEREK AMES, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2012

Optometrist (License #7693840-9934 in UT)

🟢

Initial NPI Registration & Enumeration July 15, 2010

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: 1174836431

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 15, 2010

Last Update: June 14, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2610 Pioneer Rd

St George, UT 847907442

Phone: 4356749770

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.