DEREK PECHACEK FNP-C
NPI 1114356607
Nurse Practitioner - Family in O Fallon, IL

Q: What is Derek Pechacek's NPI number?

The NPI number for Derek Pechacek is 1114356607. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Q: What is Derek Pechacek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Pechacek was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 05, 2013PECOS EnrolledAccepts Medicare Assignment

320 E HIGHWAY 50, O FALLON, IL 62269(618) 624-3368(618) 624-3387 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Derek Pechacek Fnp-c NPPES

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

DEREK PECHACEK FNP-C (NPI 1114356607) is an individual family provider in O Fallon, Illinois, licensed in Illinois (209-010889) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and maintains a secondary practice location in Sparta.

NPPES Registry Identity

NPI1114356607

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDEREK PECHACEKCredential: FNP-C

Location Address320 E HIGHWAY 50O Fallon, IL 62269-2704

Mailing Address2804 Lakeside DrColumbia, IL 62236-2681

Phone(618) 624-3368

Fax(618) 624-3387

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateNovember 5, 2013

Last NPPES UpdateMay 29, 2026

NPPES CertifiedMay 29, 2026

✔ NPI 1114356607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209-010889

320 E HIGHWAY 50, O Fallon, IL 62269

Open in Google Maps ↗

Secondary Practice Location 1

Location 11300 N Market StSparta, IL 62286-1048 · Phone (618) 443-4138 · Fax (618) 443-3685

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

Derek Pechacek Fnp-c 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 ID9234366980

PECOS Enrollment IDI20131230000978

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 2

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

21 services15 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140289

Location6800 State Route 162Maryville, IL 62062 · Madison County

Emergency services Birthing friendly

Washington County Hospital

Critical Access Hospitals · Nashville, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141308

Location705 S Grand AveNashville, IL 62263 · Washington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

Other Providers at the Same Location NPPES 12

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

SARAH JANE BRASHEAR FNP-C

Nurse Practitioner (Family)