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DR. DEREK MATTHEW NUSBAUM M.D., PH.D.
NPI 1073848396
Internal Medicine in Galveston, TX

Active since October 05, 2009PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
301 UNIVERSITY BLVD, AEROSPACE MEDICINE DEPARTMENT, GALVESTON, TX 77555(409) 457-5219 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Derek Matthew Nusbaum M.d., Ph.d. NPPES

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

DR. DEREK MATTHEW NUSBAUM M.D., PH.D. (NPI 1073848396) is an individual internal medicine provider in Galveston, Texas, licensed in Texas (P1572) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Michigan State University College Of Human Medicine (2009).

NPPES Registry Identity

NPI1073848396
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DEREK MATTHEW NUSBAUMCredential: M.D., PH.D.
Location Address301 UNIVERSITY BLVD, AEROSPACE MEDICINE DEPARTMENTGalveston, TX 77555-5302
Mailing Address301 University Blvd, Aerospace Medicine DepartmentGalveston, TX 77555-5302 · (713) 870-3167
Phone(409) 457-5219
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2009
Enumeration DateOctober 5, 2009
Last NPPES UpdateMay 25, 2021
NPPES CertifiedMay 25, 2021
✔ NPI 1073848396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · P1572✔ Licensed in TX · BP10034505
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
301 UNIVERSITY BLVD, Galveston, TX 77555
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice 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. Derek Matthew Nusbaum M.d., Ph.d. 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 ID7911220439
PECOS Enrollment IDI20150107002452
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.

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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
$131.16 typical visit price
range $57.19 – $173.07
Typical copayment $32.79 (range $14.29 – $43.26)
Most-billed visit code 99204
Established Patient
$100.90 typical visit price
range $18.45 – $141.36
Typical copayment $25.22 (range $4.61 – $35.34)
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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.

AMY KATHERINE HAVERTY PNP
Nurse Practitioner (Pediatrics)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-2222
EVA NOVAK BLIGHT NNP
Nurse Practitioner (Neonatal)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-2222
DR. JENNIFER ANN MINNEMAN MD
Surgery (Trauma Surgery)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-1011
DR. JAMES HAROLD PAVELA MD
Internal Medicine
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-7063
DIAA HAMOUDA MBBCH
Psychiatry & Neurology (Neurology)
301 UNIVERSITY BLVD, JSA 9.128
GALVESTON, TX 77555
Galveston County (409) 772-8031
SOMMER KIRSCH CAUSEY MD
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-1221
RANDA ABDELMASIH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (832) 505-2300
HEATHER PENTON
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-2222

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 Nusbaum's NPI number?

The NPI number for Derek Nusbaum is 1073848396. It was assigned to this individual provider in the NPPES registry on October 5, 2009.

Where is Derek Nusbaum located?

Derek Nusbaum practices at 301 University Blvd Aerospace Medicine Department, Galveston, TX 77555. The listed phone number is (409) 457-5219.

What is Derek Nusbaum's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Derek Nusbaum enrolled in Medicare?

Yes. Derek Nusbaum 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 Derek Nusbaum accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Derek Nusbaum 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 Nusbaum affiliated with any hospitals?

According to CMS data, Derek Nusbaum is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Derek Nusbaum was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.