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DEREK VANDERVELDE
NPI 1053870972
Emergency Medicine in Opelika, AL

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
77.52/100
CMS Quality Rating
2000 PEPPERELL PKWY, OPELIKA, AL 36801(334) 528-1112 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Derek Vandervelde NPPES

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

DEREK VANDERVELDE (NPI 1053870972) is an individual emergency medicine provider in Opelika, Alabama, licensed in Alabama (DO.3215) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Largo Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053870972
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDEREK VANDERVELDE
Location Address2000 PEPPERELL PKWYOpelika, AL 36801-5452
Mailing Address2000 Pepperell PkwyOpelika, AL 36801-5452 · (334) 528-1112
Phone(334) 528-1112
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1053870972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in AL · DO.3215✔ Licensed in NC · 2022-00403
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2000 PEPPERELL PKWY, Opelika, AL 36801
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Accepted Insurance

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

Derek Vandervelde 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 ID4789063579
PECOS Enrollment IDI20230721001464, I20250828000318
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 Derek Vandervelde reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eamc Physicians Group
Same address
General Practice
2000 PEPPERELL PKWY
Opelika, AL 36801
  • Reassigned Medicare billing, Alabama enrollment
  • Medicare enrollment name: The East Alabama Health Care Authority
  • 149 clinicians in this Medicare group
NPI 1598935637 (334) 528-1275
Inphynet Primary Care Physicians Southeast PC
27 mi
Emergency Medicine
2122 MANCHESTER EXPY
Columbus, GA 31904
  • Reassigned Medicare billing, Georgia enrollment
  • 200 clinicians in this Medicare group
NPI 1770521460 (706) 596-4000
Emergency Medicine Services Of Fl, LLC
558 mi
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
NPI 1043917180 (305) 682-7000

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 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
125 services125 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
112 services107 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
77 services76 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
38 services37 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Largo Hospital

Acute Care Hospitals · Largo, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100248
Location201 14th St SWLargo, FL 33770 · Pinellas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

77.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.31
Promoting Interoperability100
Improvement Activities40
Cost57.39

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.

TAYLOR DAVID WACHS DO
Internal Medicine (Critical Care Medicine)
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 749-3411
MAXIMILIAN SUNGHO CHOO
Student in an Organized Health Care Education/Training Program
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 364-3300
DR. CASEY ESTELLE SPEARS PHARMD
Pharmacist
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 749-3411
NGUYEN LAM DO
Student in an Organized Health Care Education/Training Program
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 364-3300
DAVID ALLEN POWELL CAA
Anesthesiologist Assistant
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 528-2499
ARSH PATEL DO
Internal Medicine
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 528-3035
JAMIE TREHERN RN
Registered Nurse (Obstetric, Inpatient)
2000 PEPPERELL PKWY, 3RD FLOOR/ MOTHER BABY
OPELIKA, AL 36801
Lee County (334) 528-3710
MACKENZIE WINTER WATERS PHARM.D.
Pharmacist
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 528-2474

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 Vandervelde's NPI number?

The NPI number for Derek Vandervelde is 1053870972. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Derek Vandervelde located?

Derek Vandervelde practices at 2000 Pepperell Pkwy, Opelika, AL 36801. The listed phone number is (334) 528-1112.

What is Derek Vandervelde's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Derek Vandervelde enrolled in Medicare?

Yes. Derek Vandervelde 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 Derek Vandervelde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Vandervelde reassigns Medicare benefits to 3 organizations: Eamc Physicians Group (Opelika, AL), Inphynet Primary Care Physicians Southeast PC (Columbus, GA) and Emergency Medicine Services Of Fl, LLC (Aventura, FL). 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 Derek Vandervelde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Vandervelde accept?

Health plans from Oscar Health Maintenance Organization of Florida list Derek Vandervelde 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 Vandervelde affiliated with any hospitals?

According to CMS data, Derek Vandervelde is affiliated with Hca Florida Largo Hospital.

When was this NPI record last updated?

The NPPES record for Derek Vandervelde was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.