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DR. TODD ALAN DERKSEN DPM
NPI 1053578682
Podiatrist - Foot & Ankle Surgery in Appleton, WI

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
1301 E NORTHLAND AVE, STE B, APPLETON, WI 54911(920) 731-1999(920) 731-3729 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2022, Dec 21, 2015 (2 updates tracked since 2015).

About Dr. Todd Alan Derksen Dpm NPPES

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

DR. TODD ALAN DERKSEN DPM (NPI 1053578682) is an individual foot & ankle surgery provider in Appleton, Wisconsin, licensed in Wisconsin (953-25) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1053578682
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. TODD ALAN DERKSENCredential: DPM
Location Address1301 E NORTHLAND AVE, STE BAppleton, WI 54911
Mailing Address1301 E Northland Ave, Ste BAppleton, WI 54911 · (920) 702-5484 · Fax (920) 731-1999
Phone(920) 731-1999
Fax(920) 731-3729
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 21, 2008
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
✔ NPI 1053578682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in WI · 953-25
1301 E NORTHLAND AVE, Appleton, WI 54911
Open in Google Maps ↗

Other Identifiers 1

Medicaid43244900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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. Todd Alan Derksen Dpm 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 ID5496821068
PECOS Enrollment IDI20080904000627
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.

Areas of Expertise CMS Part B claims 7

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
61 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services30 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
32 services25 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.
29 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
20 services17 patients

Hospital Affiliations CMS Care Compare

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

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

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

PAUL K THOMPSON O.D.
Optometrist
1301 E NORTHLAND AVE, SUITE A
APPLETON, WI 54911
Outagamie County (920) 734-8714
DR. THERESA LYNN SCHINKE DPM
Podiatrist
1301 E NORTHLAND AVE, STE B
APPLETON, WI 54911
Outagamie County (920) 731-1999
EYEWEAR SPECIALISTS, INC
Eyewear Supplier
1301 E NORTHLAND AVE, STE A
APPLETON, WI 54911
Outagamie County (920) 734-8714
DR. TIMOTHY KEVIN TOUGAS DPM
Podiatrist (Primary Podiatric Medicine)
1301 E NORTHLAND AVE, SUITE B
APPLETON, WI 54911
Outagamie County (920) 731-1999
NORTHEAST WISCONSIN FOOT AND ANKLE ASSOC., S.C.
Podiatrist (Primary Podiatric Medicine)
1301 E NORTHLAND AVE, STE B
APPLETON, WI 54911
Outagamie County (920) 731-1999
MARK C AUSTIN MD
Ophthalmology
1301 E NORTHLAND AVE, STE A
APPLETON, WI 54911
Outagamie County (920) 734-8714

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 Todd Derksen's NPI number?

The NPI number for Todd Derksen is 1053578682. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Todd Derksen located?

Todd Derksen practices at 1301 E Northland Ave Ste B, Appleton, WI 54911. The listed phone number is (920) 731-1999.

What is Todd Derksen's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Todd Derksen enrolled in Medicare?

Yes. Todd Derksen 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 Todd Derksen accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Todd Derksen 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 Todd Derksen affiliated with any hospitals?

According to CMS data, Todd Derksen is affiliated with Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Todd Derksen was last updated on August 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.