DR. DERWOOD E BASHAM D.O.
NPI 1053535120
Family Medicine in Roseburg, OR
About Dr. Derwood E Basham D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DERWOOD E BASHAM D.O. (NPI 1053535120) is an individual family medicine provider in Roseburg, Oregon, licensed in Oregon (DO171270) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
Dr. Derwood E Basham D.o. 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 2
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Center
Acute Care Hospitals · Roseburg, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEBURG, OR 97470
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 Derwood Basham's NPI number?
The NPI number for Derwood Basham is 1053535120. It was assigned to this individual provider in the NPPES registry on April 12, 2007.
Where is Derwood Basham located?
Derwood Basham practices at 2371 NE Stephens St Suite 200, Roseburg, OR 97470. The listed phone number is (541) 672-8533.
What is Derwood Basham's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Derwood Basham enrolled in Medicare?
Yes. Derwood Basham 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 Derwood Basham accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Derwood Basham 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 Derwood Basham affiliated with any hospitals?
According to CMS data, Derwood Basham is affiliated with Mercy Medical Center.
When was this NPI record last updated?
The NPPES record for Derwood Basham was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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. Derwood E Basham, D.O. · NPI 1053535120
Family Medicine physician in Roseburg, Oregon. Individual provider, active in the CMS NPPES registry since April 12, 2007.
## Identity
- **NPI:** 1053535120 (Entity type: Individual)
- **Enumerated:** April 12, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DO171270 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2371 NE STEPHENS ST, SUITE 200, Roseburg, OR 97470-1372
- **Phone:** (541) 672-8533 · **Fax:** (541) 672-4993
## 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 Pikeville, Kentucky College Of Osteopathic Med, class of 2004
## Record status
- **NPPES last updated:** July 17, 2015
- **Other identifiers:** Medicaid 165772 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1053535120) · Data from the CMS NPPES public registry.