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JEROME D. DERDEL MD
NPI 1104812601
Radiology - Therapeutic Radiology in State College, PA

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
1800 E PARK AVE, STATE COLLEGE, PA 16803(814) 234-6726(814) 234-1553 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 21, 2023, May 5, 2022, Feb 4, 2021 and 1 more (4 updates tracked since 2020).

About Jerome D. Derdel Md NPPES

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

JEROME D. DERDEL MD (NPI 1104812601) is an individual therapeutic radiology provider in State College, Pennsylvania, licensed in Pennsylvania (MD038685L) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1104812601
Entity TypeIndividualMale
Primary Taxonomy2085R0203X
Provider Legal NameJEROME D. DERDELCredential: MD
Location Address1800 E PARK AVEState College, PA 16803-6709
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Phone(814) 234-6726
Fax(814) 234-1553
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJune 21, 20234 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1104812601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Therapeutic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0203X
License✔ Licensed in PA · MD038685L
Definition

Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.

Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X · License MD038685L (PA)
1800 E PARK AVE, State College, PA 16803
Open in Google Maps ↗

Other Identifiers 1

Other1104812601Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Jerome D. Derdel 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 ID5294922662
PECOS Enrollment IDI20101210000456
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 10

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.

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002
Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.
221 services59 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
98 services24 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
77 services15 patients
Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
50 services22 patients
Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
33 services31 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390048
Location400 Highland AvenueLewistown, PA 17044 · Mifflin County
Emergency services Birthing friendly

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

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.

DR. RYAN R RIDENOUR DO
Hospitalist
1800 E PARK AVE
STATE COLLEGE, PA 16803
Centre County (814) 278-4818
SETH CANNER CRNA
Nurse Anesthetist, Certified Registered
1800 E PARK AVE
STATE COLLEGE, PA 16803
Centre County (814) 231-7000
MISS HEATHER LE HARPSTER MS, RD, LDN
Dietitian, Registered
1800 E PARK AVE, NUTRITION AND CULINARY SERVICES
STATE COLLEGE, PA 16803
Centre County (814) 231-7194
ASHLEY MARIE BOWSER PA-C
Physician Assistant
1800 E PARK AVE
STATE COLLEGE, PA 16803
Centre County (814) 278-4818
MS. LINDSAY MARIE SCHANCK PA-C
Emergency Medicine
1800 E PARK AVE
STATE COLLEGE, PA 16803
Centre County (814) 278-4851
MRS. HEATHER JO WALKER CRNA
Nurse Anesthetist, Certified Registered
1800 E PARK AVE
STATE COLLEGE, PA 16803
Centre County (814) 231-7000
WILLIAM H JUSTICE MD
Anesthesiology
1800 E PARK AVE
STATE COLLEGE, PA 16803
Centre County (814) 231-7000
DR. KEVIN ALLAN MISHOCK D.O.
Emergency Medicine (Emergency Medical Services)
1800 E PARK AVE, MOUNT NITTANY MEDICAL CENTER
STATE COLLEGE, PA 16803
Centre County (814) 234-6110

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 Jerome Derdel's NPI number?

The NPI number for Jerome Derdel is 1104812601. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Jerome Derdel located?

Jerome Derdel practices at 1800 E Park Ave, State College, PA 16803. The listed phone number is (814) 234-6726.

What is Jerome Derdel's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Therapeutic Radiology, with taxonomy code 2085R0203X.

Is Jerome Derdel enrolled in Medicare?

Yes. Jerome Derdel 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 Jerome Derdel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jerome Derdel 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 Jerome Derdel affiliated with any hospitals?

According to CMS data, Jerome Derdel is affiliated with Geisinger Medical Center, Geisinger-Lewistown Hospital and Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Jerome Derdel was last updated on June 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.