DR. DEREK ADAM PAE M.D.
NPI 1023351848
Hospitalist in Jacksonville, FL
About Dr. Derek Adam Pae M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEREK ADAM PAE M.D. (NPI 1023351848) is an individual hospitalist provider in Jacksonville, Florida, licensed in Florida (ME183638) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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. Derek Adam Pae M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Derek Pae reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nashville, TN 37232
- Reassigned Medicare billing, Tennessee enrollment
- 4,711 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Vanderbilt University Medical Center
Acute Care Hospitals · Nashville, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32224 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.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
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 Derek Pae's NPI number?
The NPI number for Derek Pae is 1023351848. It was assigned to this individual provider in the NPPES registry on March 29, 2013.
Where is Derek Pae located?
Derek Pae practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Derek Pae's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Derek Pae enrolled in Medicare?
Yes. Derek Pae 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 organization bills Medicare for Derek Pae's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Pae reassigns Medicare benefits to Vanderbilt University Medical Center (Nashville, TN). The 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 Derek Pae's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Pae accept?
Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Cigna Healthcare and Oscar Insurance Company list Derek Pae 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 Derek Pae affiliated with any hospitals?
According to CMS data, Derek Pae is affiliated with Vanderbilt University Medical Center.
When was this NPI record last updated?
The NPPES record for Derek Pae was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Derek Adam Pae, M.D. · NPI 1023351848
Hospitalist physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since March 29, 2013.
## Identity
- **NPI:** 1023351848 (Entity type: Individual)
- **Enumerated:** March 29, 2013
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** ME183638 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 953-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Vanderbilt University Medical Center (NPI 1104202761, Nashville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Virginia School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** October 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023351848) · Data from the CMS NPPES public registry.