DR. PATRICK DERBY DPM
NPI 1073075222
Podiatrist in Tampa, FL

Q: What is Patrick Derby's NPI number?

The NPI number for Patrick Derby is 1073075222. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Q: What is Patrick Derby's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Derby was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment

4700 N HABANA AVE STE 400, TAMPA, FL 33614(813) 499-0774 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2025, Feb 3, 2025, Aug 12, 2024 and 6 more (9 updates tracked since 2019).

On this page

About Dr. Patrick Derby Dpm NPPES

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

DR. PATRICK DERBY DPM (NPI 1073075222) is an individual podiatrist in Tampa, Florida, licensed in Florida (PO4422) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1073075222

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameDR. PATRICK DERBYCredential: DPM

Location Address4700 N HABANA AVE STE 400Tampa, FL 33614-7119

Mailing Address15815 Shaddock Dr Ste 130Winter Garden, FL 34787-5773 · (813) 400-1140 · Fax (813) 701-9132

Phone(813) 499-0774

Sole ProprietorNo

Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2019

Enumeration DateApril 4, 2019

Last NPPES UpdateMarch 10, 20259 updates tracked since enumeration

NPPES CertifiedMarch 10, 2025

✔ NPI 1073075222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in FL · PO4422

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License PO4422 (FL)

Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X · License PO4422 (FL)

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License PO4422 (FL)

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License PO4422 (FL)

4700 N HABANA AVE STE 400, Tampa, FL 33614

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Secondary Practice Location 1

Location 1560 Jackson St N Ste 120St Petersburg, FL 33705-1449 · Phone (727) 800-3387

Other Identifiers 5

Medicaid114530400FL

Other15659126Caqh Id

Other6605657FL · Aetna

OtherOPOAVFL · Bcbs

Other7333506FL · Cigna Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. Patrick Derby 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 ID2264767433

PECOS Enrollment IDI20220613002182

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.

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.

101 services44 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

89 services38 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.

68 services29 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

53 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

48 services48 patients

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.

42 services27 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33614 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL ZURI D.P.M

Podiatrist

4700 N HABANA AVE STE 400
TAMPA, FL 33614

Hillsborough County (813) 499-0774

DR. NATHALIA ESMERAL DPM

Podiatrist

4700 N HABANA AVE STE 400
TAMPA, FL 33614

Hillsborough County (813) 499-0774

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 Patrick Derby's NPI number?

The NPI number for Patrick Derby is 1073075222. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Patrick Derby located?

Patrick Derby practices at 4700 N Habana Ave Ste 400, Tampa, FL 33614. The listed phone number is (813) 499-0774.

What is Patrick Derby's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Patrick Derby enrolled in Medicare?

Yes. Patrick Derby 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 Patrick Derby accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Health First Commercial Plans, Inc. and 2 other insurers list Patrick Derby 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 Patrick Derby affiliated with any hospitals?

According to CMS data, Patrick Derby is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Patrick Derby was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.