DR. DEREK C. WELCH M.D.
NPI 1093753303
Pathology - Anatomic Pathology & Clinical Pathology in Nashville, TN

Q: What is Derek Welch's NPI number?

The NPI number for Derek Welch is 1093753303. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Q: What is Derek Welch's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Derek Welch was last updated on September 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1010 AIRPARK CENTER DR, NASHVILLE, TN 37217(615) 562-9200 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Derek C. Welch M.d. NPPES

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

DR. DEREK C. WELCH M.D. (NPI 1093753303) is an individual anatomic pathology & clinical pathology provider in Nashville, Tennessee, licensed in Tennessee (36584) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and maintains a secondary practice location in Brentwood.

NPPES Registry Identity

NPI1093753303

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. DEREK C. WELCHCredential: M.D.

Location Address1010 AIRPARK CENTER DRNashville, TN 37217-5200

Mailing Address1010 Airpark Center DrNashville, TN 37217-5200 · (615) 221-4447 · Fax (615) 234-2511

Phone(615) 562-9200

Sole ProprietorNo

Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2024

Enumeration DateJune 2, 2006

Last NPPES UpdateSeptember 2, 2022

NPPES CertifiedSeptember 2, 2022

✔ NPI 1093753303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in TN · 36584

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1010 AIRPARK CENTER DR, Nashville, TN 37217

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Secondary Practice Location 1

Location 15301 Virginia Way, Suite 300Brentwood, TN 37027-7541 · Phone (615) 695-4977 · Fax (615) 263-3348

Other Identifiers 8

Other100049937TN · Php Tenncare

Medicaid3332763TN

Other37819TN · Tlc Tenncare

Other4128532TN · Blue Shield

Medicaid010355915VA

Medicaid009938109AL

Other198281TN · Unison Tenncare

Medicaid64106099KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Arkansas Blue Cross and Blue Shield, Health Advantage 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 C. Welch M.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 ID3678503851

PECOS Enrollment IDI20070822000070, I20100626000346, I20190621000289, I20211208002867, I20220829002576

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 37

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

36,308 services33,708 patients

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision G0145

This is a procedure to check for abnormal cells in the lower part of the womb or the birth canal. Cells are collected in a special fluid and prepared in a thin layer. They are then examined by an automated system and manually reviewed by a doctor for accuracy.

15,992 services15,992 patients

Detection test for candida species (yeast), amplified probe technique 87481

This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.

3,593 services2,490 patients

Detection test by nucleic acid for human papillomavirus (hpv), high-risk types 87624

This test detects high-risk types of HPV, a common virus. It's done by analyzing a small sample of cells for the presence of HPV DNA. The aim is to identify any high-risk types early, as they may increase the risk of certain health issues.

2,699 services2,679 patients

Detection test for gardnerella vaginalis (bacteria), amplified probe technique 87511

This test helps find a specific type of bacteria in the body. It uses a method called the amplified probe technique, which amplifies the bacteria's genetic material, making it easier to detect. It's a standard, pain-free procedure.

1,416 services1,314 patients

Pap test, automated thin layer preparation; automated system and manual rescreening 88175

A Pap test is a screening tool that helps detect unusual cells. The automated thin layer preparation involves placing your cell sample in a thin layer on a slide. An automated system then scans the slide, and experts manually review any areas flagged by the system. This method enhances the accuracy of the results.

1,197 services1,175 patients

Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test G0476

This service detects high-risk types of HPV, a common virus, by analyzing DNA or RNA. It's an essential part of cervical cancer screening, performed alongside the Pap test. This dual approach enhances accuracy, aiding early detection and treatment.

1,032 services1,032 patients

Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique 87491

A detection test by nucleic acid for chlamydia trachomatis, amplified probe technique, is a test that identifies the presence of a specific bacteria in the body. This bacteria can cause various health issues. The technique amplifies the sample to improve accuracy.

667 services628 patients

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision G0123

This is a routine screening procedure where cells are collected from the lower female tract. The cells are placed in a special fluid, prepared in a thin layer for microscopic examination. This is done under the supervision of a medical professional to ensure accuracy.

627 services627 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

626 services604 patients

Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique 87661

This is a test to identify a common microscopic organism that can cause discomfort. The technique involves using a special probe to amplify the organism's genetic material, making it easier to detect. It's a simple, safe, and accurate procedure.

571 services546 patients

Protein measurement, serum 84165

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

545 services534 patients

Detection test by nucleic acid for herpes simplex virus, amplified probe technique 87529

This test uses an amplified probe technique to identify the presence of the herpes simplex virus in your body. It works by detecting the virus's genetic material, or nucleic acid. The test is accurate, reliable, and can help in early detection and treatment.

491 services299 patients

Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique 87591

This is a lab test that checks for the presence of a specific bacteria called Neisseria gonorrhoeae in your body. It uses a technique called amplified probe, which makes many copies of the bacteria's genetic material (nucleic acid) to help detect it more easily.

424 services400 patients

Detection test by nucleic acid for organism, amplified probe technique 87798

A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.

260 services169 patients

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637

This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.

214 services214 patients

Detection test by nucleic acid for clostridium difficile, amplified probe technique 87493

A detection test by nucleic acid for Clostridium difficile using an amplified probe technique is a lab test that identifies the presence of the Clostridium difficile bacteria in your body. It uses a small sample, often stool, and a technique that amplifies the bacteria's genetic material to confirm its presence.

163 services159 patients

Detection test by nucleic acid for human papillomavirus (hpv), types 16 and 18 only 87625

This test identifies specific types of HPV, a common virus, by examining your body's cells for the virus's genetic material. It's specifically designed to detect types 16 and 18, which are often associated with certain health risks. The procedure is safe and simple.

163 services161 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

151 services86 patients

Protein measurement, body fluid 84166

A protein measurement of body fluid is a test that gauges the amount of proteins in your fluids. This analysis helps in detecting various health conditions. It's done via a simple sample collection process, usually from blood or urine, in a safe and painless manner.

147 services147 patients

Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure 88374

This procedure involves analyzing tissue at a genetic level using a microscope and advanced computer technology. The initial process involves the collection and preparation of tissue samples. Each multiplex procedure refers to the simultaneous testing of multiple genetic markers to identify abnormalities.

141 services37 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

135 services65 patients

Detection test by nucleic acid for hepatitis c virus, quantification 87522

This is a test that measures the amount of hepatitis C virus in your blood. It uses a method called nucleic acid testing to detect the virus's genetic material. This helps assess your disease status and monitor treatment effectiveness.

94 services93 patients

Interpretation and report of genetic testing 88291

Interpretation and report of genetic testing involves analyzing your DNA to look for changes that could indicate a risk for certain health conditions. The results are then compiled into a report, which provides insights about your genetic health.

70 services69 patients

Detection of mycoplasma genitalium by dna or rna probe 87563

This procedure involves the use of special probes to identify the presence of a specific bacteria, Mycoplasma Genitalium, in your body. These probes detect the bacteria's unique DNA or RNA, helping to confirm if you have an infection.

69 services65 patients

Cell examination of urine, computer-assisted 88121

A cell examination of urine, computer-assisted, is a lab test where a computer helps analyze your urine sample. It aids in identifying any abnormal cells or substances that may indicate health issues. The process is painless and involves collecting a urine sample.

64 services52 patients

Detection test by nucleic acid for organism, quantification 87799

A detection test by nucleic acid quantification is a lab procedure used to identify specific organisms in your body. It measures the amount of an organism's genetic material, helping to diagnose and monitor certain diseases.

58 services45 patients

Molecular pathology procedure; physician interpretation and report G0452

A molecular pathology procedure involves analyzing your body's cells at a molecular level to identify any abnormalities. This can help detect diseases early. A physician will interpret the results and provide a detailed report, explaining the findings clearly.

57 services23 patients

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636

This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.

53 services53 patients

Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique 87640

A detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.

50 services48 patients

Detection test by nucleic acid for hiv-1 virus, quantification 87536

This test identifies and measures the amount of HIV-1 virus in your body. It uses a technique called nucleic acid testing to find the virus's genetic material. This information helps monitor your health and manage treatment effectively.

38 services38 patients

Pap test, manual screening 88142

A Pap test is a routine procedure that checks for unusual changes in cells. During the manual screening, a small sample of cells is gently collected from the lower region of the body. These cells are then examined under a microscope to ensure your health.

36 services36 patients

Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique 87653

A detection test by nucleic acid for Group B Strep uses an amplified probe technique. This test identifies the presence of Group B Strep bacteria in the body. It involves collecting a sample, usually a swab, which is then examined in a lab for the bacteria's genetic material.

33 services31 patients

Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 3-5 targets 87505

This test identifies harmful organisms in your digestive tract by examining their genetic material. It checks for multiple types of pathogens, targeting 3-5 specific ones. This helps in diagnosing the cause of any digestive issues.

24 services24 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

22 services22 patients

Detection test by nucleic acid for hepatitis b virus, quantification 87517

This test identifies the presence and measures the amount of Hepatitis B virus in your blood. It uses a technique called nucleic acid testing. The test helps in monitoring your infection and planning your treatment.

19 services19 patients

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician G0124

This is a routine health check where a sample of cells is collected from the lower region of the female reproductive system. The sample is preserved and prepared using automated technology for detailed examination. A doctor interprets the results to check for any abnormalities.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110069

Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37217 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

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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.

ASSOCIATED PATHOLOGISTS, LLC

Pathology (Anatomic Pathology & Clinical Pathology)