Derek Jacobsen
NPI 1124462593 · Optometrist · Sun City West, AZ
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Jacobsen is a Optometrist provider in Sun City West, AZ (NPI 1124462593).
Provider details
- NPI number
- 1124462593
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1933 (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
787 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Complete Exam of Visual System92014 | 270 | $121 |
| Imaging of Retina92134 | 140 | $39 |
| Imaging of Optic Nerve92133 | 92 | $35 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 91 | $122 |
| New Patient Complete Exam of Visual System92004 | 84 | $144 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 65 | $88 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 147 | 55 |
| Cyclosporinebrand: Restasis | 67 | 28 |
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 42 | 36 |
| Cyclosporine | 25 | 16 |
| Timolol Maleate | 23 | 12 |
| Lifitegrastbrand: Xiidra | 22 | — |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 14 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$822 across 23 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 7727 W Deer Valley Rd Ste E200Peoria, AZ 85382-2114Phone: (623) 376-9070
- 18325 N Allied WaySuite 100Phoenix, AZ 85054-3105Phone: (602) 467-4966Fax: (480) 419-5401
Registry dates
- Enumerated
- 2013-04-29
- Last updated
- 2021-03-01
- Certified
- 2021-03-01
Frequently asked questions
- What is Derek Jacobsen's NPI number?
- Derek Jacobsen's National Provider Identifier (NPI) is 1124462593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Jacobsen's specialty?
- Derek Jacobsen is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Derek Jacobsen located?
- Derek Jacobsen's practice location on file with NPPES is 13613 W Camino Del Sol Ste 2, Sun City West, AZ 85375-4480.
- What is Derek Jacobsen's phone number?
- The practice phone number listed in the NPPES registry for Derek Jacobsen is (623) 584-2100.
- Does Derek Jacobsen accept Medicare?
- Derek Jacobsen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Jacobsen's NPI active?
- Yes — Derek Jacobsen's NPI (1124462593) is active in the NPPES registry as of the last update on 2021-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.