Active NPI 1295019339 Individual Practitioner Male Practitioner

Dr. Derek Alan Walton , OD

Optometrist • Riverton, WY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Derek Walton, OD is a certified Optometrist practicing in Riverton, WY. With approximately 15 years of clinical experience since graduating from Southern California College Of Optometry in 2011, Dr. Walton delivers high-quality medical care to the local community at 400 E ADAMS AVE.

Dr. Walton is affiliated with Hometown Eyecare And Optical and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

400 E Adams Ave

Riverton, WY 825014413

Telephone 3078563937

Fax 3078561306

Associated Practice Facility / Clinic

🏢 Kister Eyecare, Pc Facility NPI 1700055951

Medicare Profile & Education

Medical School

Southern California College Of Optometry

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Riverton, WY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -9.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 20.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Riverton, WY (156 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

31.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Walton (15 Years) 15 Yrs

Riverton Specialty Average (24.5 Years) 24.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	208	122	$105.00	$88.49
92014 Established patient complete exam of visual system	133	133	$145.00	$123.41
92134 Imaging of retina	53	49	$69.00	$39.37
92004 New patient complete exam of visual system	40	40	$165.00	$145.87
92250 Photography of the retina	40	40	$90.00	$36.19
92083 Exam of visual field with extended testing	40	38	$99.00	$62.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	28	$148.00	$124.88
92133 Imaging of optic nerve	38	37	$69.00	$33.09
66984 Removal of cataract with insertion of lens	31	19	$217.40	$104.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	138	78	$99.86	$88.85
92014 Established patient complete exam of visual system	94	93	$145.00	$125.44
92133 Imaging of optic nerve	34	33	$69.00	$33.60
92134 Imaging of retina	33	31	$69.00	$40.07
92250 Photography of the retina	32	32	$90.00	$36.98
92083 Exam of visual field with extended testing	32	31	$99.00	$62.15
92004 New patient complete exam of visual system	26	26	$165.00	$149.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$137.76	$126.00
92012 Established patient problem focused exam of visual system	22	15	$95.00	$89.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	138	137	$145.00	$127.12
92012 Established patient problem focused exam of visual system	130	76	$95.00	$89.72
92134 Imaging of retina	61	55	$69.00	$40.47
92004 New patient complete exam of visual system	47	47	$165.00	$150.20
99213 Established patient office or other outpatient visit, typically 15 minutes	46	34	$95.00	$90.32
92083 Exam of visual field with extended testing	40	37	$99.00	$63.05
66984 Removal of cataract with insertion of lens	40	25	$217.40	$105.61
92133 Imaging of optic nerve	33	33	$69.00	$34.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$55.00	$54.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$132.00	$128.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$132.00	$111.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	157	155	$145.00	$128.13
92012 Established patient problem focused exam of visual system	133	82	$95.00	$90.85
92134 Imaging of retina	62	56	$69.00	$41.26
92004 New patient complete exam of visual system	59	59	$165.00	$152.21
92083 Exam of visual field with extended testing	38	35	$99.00	$64.09
92133 Imaging of optic nerve	33	31	$69.00	$35.29
99213 Established patient office or other outpatient visit, typically 15 minutes	32	26	$95.00	$91.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$132.00	$130.42
66984 Removal of cataract with insertion of lens	27	18	$217.40	$108.60
92250 Photography of the retina	24	23	$90.00	$39.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	147	146	$132.18	$122.47
92134 Imaging of retina	73	68	$68.32	$40.92
99213 Established patient office or other outpatient visit, typically 15 minutes	57	45	$91.14	$75.44
92083 Exam of visual field with extended testing	50	47	$88.92	$64.05
92012 Established patient problem focused exam of visual system	45	35	$94.91	$89.71
92133 Imaging of optic nerve	41	39	$69.00	$36.07
92004 New patient complete exam of visual system	36	36	$154.53	$146.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$132.00	$109.55
66984 Removal of cataract with insertion of lens	17	13	$217.40	$110.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$132.00	$108.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$200.00	$165.17
92250 Photography of the retina	11	11	$90.00	$44.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	90	$132.00	$108.59
99213 Established patient office or other outpatient visit, typically 15 minutes	76	54	$91.00	$74.09
92083 Exam of visual field with extended testing	55	51	$81.00	$64.43
92250 Photography of the retina	50	50	$90.00	$49.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$132.00	$108.34
92014 Established patient complete exam of visual system	42	42	$116.00	$114.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$200.00	$163.67
66984 Removal of cataract with insertion of lens	20	15	$217.40	$128.22
92133 Imaging of optic nerve	20	20	$59.00	$32.35
92134 Imaging of retina	16	16	$53.38	$34.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$55.00	$44.99
92004 New patient complete exam of visual system	12	12	$136.00	$134.27
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$91.00	$76.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	149	149	$132.00	$104.69
92250 Photography of the retina	70	68	$90.00	$53.33
99213 Established patient office or other outpatient visit, typically 15 minutes	69	42	$90.29	$70.60
92083 Exam of visual field with extended testing	58	55	$81.00	$62.68
66984 Removal of cataract with insertion of lens	34	21	$217.40	$124.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$131.23	$104.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$55.00	$42.72
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$91.00	$72.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$200.00	$159.34
66821 Removal of recurring cataract in lens capsule using a laser	14	13	$120.00	$68.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$132.00	$107.97

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WY 413T

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License UT 8527006-9934

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan

U000078885 (UT)

Hospital & Practice Group Affiliations

Hometown Eyecare And Optical

400 E Adams Ave, Riverton, WY 825014413

Phone: 3078563937

Secondary Practice Locations

955 N Main St

Spanish Fork, UT 846601150

Phone: 8017983557

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Benjamin Kister , OD

Optometrist

NPI 1336125319

Doctor of Optometry

Dr. Ross Wortham , OD

Optometrist

NPI 1821072042

Doctor of Optometry

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Optometrist (License #8527006-9934 in UT)

✅

NPI Profile Active September 18, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 18, 2017

Registered at 400 E ADAMS AVE, RIVERTON, WY 825014413 (Tel: (307) 856-3937)

📍

Updated Business Mailing Address September 18, 2017

Registered at 400 E ADAMS AVE, RIVERTON, WY 825014413 (Tel: (307) 856-3937)

👤

Provider Name / Credentials Updated September 18, 2017

Recorded as DEREK WALTON, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2017

Optometrist (License #413T in WY)

✅

NPI Profile Active November 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 15, 2016

Registered at 955 N MAIN ST, SPANISH FORK, UT 846601150 (Tel: 8017983557)

📍

Updated Business Mailing Address November 15, 2016

Registered at 955 N MAIN ST, SPANISH FORK, UT 846601150 (Tel: 8017983557)

👤

Provider Name / Credentials Updated November 15, 2016

Recorded as DEREK WALTON, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2016

Optometrist (License #8527006-9934 in UT)

🟢

Initial NPI Registration & Enumeration October 07, 2011

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: 1295019339

Entity Type:

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

Enumeration Date: October 07, 2011

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

400 E Adams Ave

Riverton, WY 825014413

Phone: 3078563937

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.