MR. DERRICK WAYNE SCOGGINS APRN
NPI 1053980540
Nurse Practitioner in Bowling Green, KY

Active since June 21, 2021PECOS EnrolledAccepts Medicare Assignment
201 PARK ST, BOWLING GREEN, KY 42101(270) 783-3362(270) 780-0472 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2023, Jun 21, 2021 (2 updates tracked since 2021).

About Mr. Derrick Wayne Scoggins Aprn NPPES

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

MR. DERRICK WAYNE SCOGGINS APRN (NPI 1053980540) is an individual nurse practitioner in Bowling Green, Kentucky, licensed in Kentucky (3016140) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053980540
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. DERRICK WAYNE SCOGGINSCredential: APRN
Location Address201 PARK STBowling Green, KY 42101-1708
Mailing Address201 Park StBowling Green, KY 42101-1708 · (270) 781-5111
Fax(270) 780-0472
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 21, 2021
Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
NPI 1053980540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KY · 3016140
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3016140 (KY)
201 PARK ST, Bowling Green, KY 42101

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

Mr. Derrick Wayne Scoggins Aprn 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 ID7911302872
PECOS Enrollment IDI20210816003971
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 8

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,700 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.
630 services294 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
109 services46 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
95 services32 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
30 services15 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.
23 services22 patients

Hospital Affiliations CMS Care Compare

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42101 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers24 claims306 services$19.33 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers26 claims780 services$2.44 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
23 suppliers84 claims239 services$6.45 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers20 claims23 services$1.04 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers25 claims25 services$330.78 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
4 suppliers13 claims1,300 services$6.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
201 PARK ST
BOWLING GREEN, KY 42101
Nurse Practitioner (Pediatrics)
201 PARK ST
BOWLING GREEN, KY 42101
Internal Medicine
201 PARK ST
BOWLING GREEN, KY 42101
Physical Therapist
201 PARK ST
BOWLING GREEN, KY 42101
Psychiatry & Neurology (Neurology)
201 PARK ST
BOWLING GREEN, KY 42101
Nurse Practitioner (Family)
201 PARK ST
BOWLING GREEN, KY 42101
Radiology (Diagnostic Radiology)
201 PARK ST
BOWLING GREEN, KY 42101
Nurse Practitioner
201 PARK ST
BOWLING GREEN, KY 42101

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 Derrick Scoggins's NPI number?

The NPI number for Derrick Scoggins is 1053980540. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Where is Derrick Scoggins located?

Derrick Scoggins practices at 201 Park St, Bowling Green, KY 42101. The listed phone number is (270) 783-3362.

What is Derrick Scoggins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Derrick Scoggins enrolled in Medicare?

Yes. Derrick Scoggins 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 Derrick Scoggins accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Derrick Scoggins 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 Derrick Scoggins affiliated with any hospitals?

According to CMS data, Derrick Scoggins is affiliated with The Medical Center (bowling Green).

When was this NPI record last updated?

The NPPES record for Derrick Scoggins was last updated on November 13, 2023. 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.