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DR. KRISTINA DERRICK MD
NPI 1013228469
Dermatology in Toms River, NJ

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment
214 COMMONS WAY BLDG B, TOMS RIVER, NJ 08755(732) 234-7546(732) 231-5202 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2025, Feb 19, 2025, Jul 8, 2024 and 3 more (6 updates tracked since 2016).

About Dr. Kristina Derrick Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRISTINA DERRICK MD (NPI 1013228469) is an individual dermatology provider in Toms River, New Jersey, licensed in New Jersey (25MA10534400) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Suny/downstate University Hospital Of Brooklyn, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013228469
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. KRISTINA DERRICKCredential: MD
Location Address214 COMMONS WAY BLDG BToms River, NJ 08755-6427
Mailing Address214 Commons Way Bldg BToms River, NJ 08755-6427 · (732) 234-7546 · Fax (732) 231-5202
Phone(732) 234-7546
Fax(732) 231-5202
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2010
Enumeration DateJune 30, 2010
Last NPPES UpdateDecember 16, 20256 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1013228469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NJ · 25MA10534400
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License 25MA10534400 (NJ)
Also ListedPediatricsTaxonomy 208000000X · License 106526 (NJ)
214 COMMONS WAY BLDG B, Toms River, NJ 08755
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Secondary Practice Locations 2

Location 11616 Route 72 WManahawkin, NJ 08050-5131 · Phone (732) 234-7546 · Fax (718) 231-5202
Location 2450 Clarkson AveBrooklyn, NY 11203-2012 · Phone (718) 270-1229 · Fax (718) 270-2794

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kristina Derrick Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224323407
PECOS Enrollment IDI20231121000127
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kristina Derrick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Paragon Skin
Same address
Dermatology
214 COMMONS WAY BLDG B
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1447959713 (732) 234-7546
University Hospital Of Brooklyn Suny Downstate Health Sciences Univers
50 mi
Family Medicine
470 CLARKSON AVE
Brooklyn, NY 11203
  • Reassigned Medicare billing, New York enrollment
  • 169 clinicians in this Medicare group
NPI 1396318986 (718) 270-1000
Montefiore Medical Center
59 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
184 services21 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
96 services41 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
89 services41 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
81 services57 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
57 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Suny/Downstate University Hospital Of Brooklyn

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330350
Location445 Lenox RoadBrooklyn, NY 11203 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARAGON SKIN
Dermatology
214 COMMONS WAY BLDG B
TOMS RIVER, NJ 08755
Ocean County (732) 234-7546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristina Derrick's NPI number?

The NPI number for Kristina Derrick is 1013228469. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Kristina Derrick located?

Kristina Derrick practices at 214 Commons Way Bldg B, Toms River, NJ 08755. The listed phone number is (732) 234-7546.

What is Kristina Derrick's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kristina Derrick enrolled in Medicare?

Yes. Kristina Derrick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kristina Derrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Derrick reassigns Medicare benefits to 3 organizations: Paragon Skin (Toms River, NJ), University Hospital Of Brooklyn Suny Downstate Health Sciences Univers (Brooklyn, NY) and Montefiore Medical Center (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Derrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Derrick accept?

Health plans from Oscar Health list Kristina Derrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristina Derrick affiliated with any hospitals?

According to CMS data, Kristina Derrick is affiliated with Suny/Downstate University Hospital Of Brooklyn.

When was this NPI record last updated?

The NPPES record for Kristina Derrick was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.