DR. WISSAM DERIAN MD
NPI 1063684066
Internal Medicine - Cardiovascular Disease in Quincy, IL

Active since March 31, 2008PECOS EnrolledAccepts Medicare Assignment
1025 MAINE ST, QUINCY, IL 62301(217) 222-6550(217) 277-2253 Get Directions Write a Review

NPPES record last updated: February 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Wissam Derian Md NPPES

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

DR. WISSAM DERIAN MD (NPI 1063684066) is an individual cardiovascular disease provider in Quincy, Illinois, licensed in Illinois (036113096) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1063684066
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. WISSAM DERIANCredential: MD
Location Address1025 MAINE STQuincy, IL 62301-4038
Mailing Address1025 Maine StQuincy, IL 62301-4038 · (217) 222-6550 · Fax (217) 277-2253
Fax(217) 277-2253
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 31, 2008
Last NPPES UpdateFebruary 8, 2010
NPI 1063684066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036113096
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1025 MAINE ST, Quincy, IL 62301

Other Identifiers 2

Medicare PINR02316IL
Medicare PINP00730518IL

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. Wissam Derian Md 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 ID9234204082
PECOS Enrollment IDI20080813000839, I20241218000470
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 52

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.

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.
1,008 services870 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
851 services730 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
800 services199 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
744 services727 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.
741 services436 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
504 services227 patients

Hospital Affiliations CMS Care Compare 5

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Memorial Hospital

Critical Access Hospitals · Carthage, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141305
Location1454 N County Road 2050 ECarthage, IL 62321 · Hancock County
Emergency services

Sarah D Culbertson Memorial Hospital

Critical Access Hospitals · Rushville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141333
Location238 South Congress StreetRushville, IL 62681 · Schuyler County
Emergency services

Scotland County Hospital

Critical Access Hospitals · Memphis, MO
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261310
Location450 E Sigler AvenueMemphis, MO 63555 · Scotland County
Emergency services

Pike County Memorial Hospital

Critical Access Hospitals · Louisiana, MO
OwnershipGovernment - Local
CMS Certification Number261333
Location2305 West Georgia StreetLouisiana, MO 63353 · Pike County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 15

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers34 claims34 services$37.24 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers25 claims25 services$110.12 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers21 claims54 services$40.98 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers14 claims59 services$25.12 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers27 claims27 services$61.89 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers31 claims31 services$22.56 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.

Orthopaedic Surgery
1025 MAINE ST
QUINCY, IL 62301
Counselor (Professional)
1025 MAINE ST
QUINCY, IL 62301
Physical Therapist
1025 MAINE ST
QUINCY, IL 62301
Counselor (Professional)
1025 MAINE ST
QUINCY, IL 62301
Family Medicine
1025 MAINE ST
QUINCY, IL 62301
Pharmacist
1025 MAINE ST
QUINCY, IL 62301
Family Medicine
1025 MAINE ST
QUINCY, IL 62301
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1025 MAINE ST
QUINCY, IL 62301

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 Wissam Derian's NPI number?

The NPI number for Wissam Derian is 1063684066. It was assigned to this individual provider in the NPPES registry on March 31, 2008.

Where is Wissam Derian located?

Wissam Derian practices at 1025 Maine St, Quincy, IL 62301. The listed phone number is (217) 222-6550.

What is Wissam Derian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Wissam Derian enrolled in Medicare?

Yes. Wissam Derian 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.

Is Wissam Derian affiliated with any hospitals?

According to CMS data, Wissam Derian is affiliated with Blessing Hospital, Memorial Hospital, Sarah D Culbertson Memorial Hospital, Scotland County Hospital and Pike County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Wissam Derian was last updated on February 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.