SUSAN A DERRY MD
NPI 1023109030
Emergency Medicine in Moscow, ID
About Susan A Derry Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN A DERRY MD (NPI 1023109030) is an individual emergency medicine provider in Moscow, Idaho, licensed in Washington (MD60547005) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Gritman Medical Center, and maintains a secondary practice location in Kellogg.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Susan A Derry 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Gritman Medical Center
Critical Access Hospitals · Moscow, IDSanford Bemidji Medical Center
Acute Care Hospitals · Bemidji, MNChi Health Midlands
Acute Care Hospitals · Papillion, NESt Elizabeth Hospital
Critical Access Hospitals · Enumclaw, WAMason General Hospital & Family Of Clinics
Critical Access Hospitals · Shelton, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83843 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOSCOW, ID 83843
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 Susan Derry's NPI number?
The NPI number for Susan Derry is 1023109030. It was assigned to this individual provider in the NPPES registry on September 27, 2006.
Where is Susan Derry located?
Susan Derry practices at 700 S Main St, Moscow, ID 83843. The listed phone number is (208) 882-4511.
What is Susan Derry's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Susan Derry enrolled in Medicare?
Yes. Susan Derry 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.
What insurance does Susan Derry accept?
Health plans from Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Susan Derry 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 Susan Derry affiliated with any hospitals?
According to CMS data, Susan Derry is affiliated with Gritman Medical Center, Sanford Bemidji Medical Center, Chi Health Midlands, St Elizabeth Hospital and Mason General Hospital & Family Of Clinics.
When was this NPI record last updated?
The NPPES record for Susan Derry was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.
# Susan A Derry, MD · NPI 1023109030
Emergency Medicine physician in Moscow, Idaho. Individual provider, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1023109030 (Entity type: Individual)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD60547005 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 S MAIN ST, Moscow, ID 83843-3046
- **Phone:** (208) 882-4511
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of North Dakota School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** August 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023109030) · Data from the CMS NPPES public registry.