DR. DEREK MATTHEW STEINBACHER DMD, MD, FACS
NPI 1083687529
Plastic Surgery in Guilford, CT

Active since February 07, 2006Opted out of Medicare · through Jul 1, 2027
73.56/100
CMS Quality Rating
5 DURHAM RD STE 1-8, GUILFORD, CT 06437(203) 453-6635 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2024, Apr 27, 2021, Dec 5, 2015 (3 updates tracked since 2015).

About Dr. Derek Matthew Steinbacher Dmd, Md, Facs NPPES

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

DR. DEREK MATTHEW STEINBACHER DMD, MD, FACS (NPI 1083687529) is an individual plastic surgery provider in Guilford, Connecticut, licensed in Connecticut (048790) and active in the NPI registry since February 2006. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1083687529
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. DEREK MATTHEW STEINBACHERCredential: DMD, MD, FACS
Location Address5 DURHAM RD STE 1-8Guilford, CT 06437-2076
Mailing Address5 Durham Rd Ste 1-8Guilford, CT 06437-2076 · (203) 453-6635
Sole ProprietorNo
Enumeration DateFebruary 7, 2006
Last NPPES UpdateApril 3, 20243 updates tracked since enumeration
NPPES CertifiedJuly 24, 2022
NPI 1083687529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in CT · 048790
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 10263 (CT)
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 048790 (CT)
Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License 048790 (CT)
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 048790 (CT)
5 DURHAM RD STE 1-8, Guilford, CT 06437

Secondary Practice Location 1

Location 120 York StNew Haven, CT 06510-3220 · Phone (203) 785-4571

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Derek Matthew Steinbacher Dmd, Md, Facs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06437 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Other Providers at the Same Location NPPES

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

Clinic/Center
5 DURHAM RD STE 1-8
GUILFORD, CT 06437

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 Steinbacher's NPI number?

The NPI number for Derek Steinbacher is 1083687529. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Derek Steinbacher located?

Derek Steinbacher practices at 5 Durham Rd Ste 1-8, Guilford, CT 06437. The listed phone number is (203) 453-6635.

What is Derek Steinbacher's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Derek Steinbacher enrolled in Medicare?

No. Derek Steinbacher has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Derek Steinbacher accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Derek Steinbacher 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.

When was this NPI record last updated?

The NPPES record for Derek Steinbacher was last updated on April 3, 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.