DR. TREVOR JOHN DERDERIAN M.D.
NPI 1124346697
Surgery - Vascular Surgery in Rancho Mirage, CA

Active since May 09, 2010PECOS EnrolledAccepts Medicare Assignment
16.84/100
CMS Quality Rating
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270(760) 340-9216(760) 341-2093 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2025, Nov 7, 2025, Mar 3, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Trevor John Derderian M.d. NPPES

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

DR. TREVOR JOHN DERDERIAN M.D. (NPI 1124346697) is an individual vascular surgery provider in Rancho Mirage, California, licensed in California (148584) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1124346697
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. TREVOR JOHN DERDERIANCredential: M.D.
Location Address39000 BOB HOPE DRRancho Mirage, CA 92270-3221
Mailing Address39000 Bob Hope DrRancho Mirage, CA 92270-3221 · (760) 340-9216 · Fax (760) 341-2093
Fax(760) 341-2093
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 9, 2010
Last NPPES UpdateDecember 30, 20254 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
NPI 1124346697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CA · 148584
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
39000 BOB HOPE DR, Rancho Mirage, CA 92270

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. Trevor John Derderian 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 ID2264748623
PECOS Enrollment IDI20170717001933
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 39

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
685 services473 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
343 services221 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
270 services220 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
247 services173 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
204 services118 patients
Ultrasonic guidance during surgery 76998
Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.
187 services131 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92270 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

16.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost56.14

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.

Social Worker (Clinical)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Radiology (Diagnostic Radiology)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Anesthesiology
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Thoracic Surgery (Cardiothoracic Vascular Surgery)
39000 BOB HOPE DR, K - 108
RANCHO MIRAGE, CA 92270
Internal Medicine (Pulmonary Disease)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Nurse Practitioner (Family)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Physical Therapist
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Physician Assistant
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

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 Trevor Derderian's NPI number?

The NPI number for Trevor Derderian is 1124346697. It was assigned to this individual provider in the NPPES registry on May 9, 2010.

Where is Trevor Derderian located?

Trevor Derderian practices at 39000 Bob Hope Dr, Rancho Mirage, CA 92270. The listed phone number is (760) 340-9216.

What is Trevor Derderian's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Trevor Derderian enrolled in Medicare?

Yes. Trevor Derderian 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.

When was this NPI record last updated?

The NPPES record for Trevor Derderian was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.