DR. DEREK JAMES ZHORNE M.D.
NPI 1134428451
Hospitalist in Iowa City, IA

Q: What is Derek Zhorne's NPI number?

The NPI number for Derek Zhorne is 1134428451. It was assigned to this individual provider in the NPPES registry on March 25, 2011.

Q: What is Derek Zhorne's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Zhorne was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 25, 2011PECOS Enrolled

200 HAWKINS DR, DEPT OF PEDIATRICS, IOWA CITY, IA 52242(515) 201-9683 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Derek James Zhorne M.d. NPPES

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

DR. DEREK JAMES ZHORNE M.D. (NPI 1134428451) is an individual hospitalist provider in Iowa City, Iowa, licensed in Iowa (MD-41760) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134428451

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. DEREK JAMES ZHORNECredential: M.D.

Location Address200 HAWKINS DR, DEPT OF PEDIATRICSIowa City, IA 52242-1009

Mailing Address200 Hawkins Dr, Dept Of PediatricsIowa City, IA 52242-1009 · (515) 201-9683

Phone(515) 201-9683

Sole ProprietorNo

Enumeration DateMarch 25, 2011

Last NPPES UpdateSeptember 25, 2023

NPPES CertifiedSeptember 25, 2023

✔ NPI 1134428451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IA · MD-41760

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedPediatricsTaxonomy 208000000X · License MD-41760 (IA)

200 HAWKINS DR, Iowa City, IA 52242

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derek James Zhorne M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Derek Zhorne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State University Of Iowa

Same address

Dentist

200 HAWKINS DRIVE, 51300 POMERANTZ FAMILY PAVILION
Iowa City, IA 52242

Reassigned Medicare billing, Iowa enrollment
2,190 clinicians in this Medicare group

NPI 1114905387 (319) 356-2743

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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 20

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

SANGIL LEE M.D.

Emergency Medicine

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-2233

RAMI G. EL ABIAD M.D.

Internal Medicine (Gastroenterology)

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-4901

GRERK SUTAMTEWAGUL MD

Internal Medicine (Hematology & Oncology)

200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242

Johnson County (319) 356-1616

DR. KALEB TANNER VEIT D.O.

Internal Medicine (Critical Care Medicine)

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-2320

OMAR JABER M.D

Chronic Disease Hospital

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 471-8958

JENNIFER MANCUSO MS, CGC

Genetic Counselor, MS

200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242

Johnson County (319) 384-7983

ASHLEY KAISER M.D.

Obstetrics & Gynecology

200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242

Johnson County (319) 356-2294

MRS. NANCY JANE MILLICE

Health Educator

200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

Johnson County (319) 356-3825

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 Zhorne's NPI number?

The NPI number for Derek Zhorne is 1134428451. It was assigned to this individual provider in the NPPES registry on March 25, 2011.

Where is Derek Zhorne located?

Derek Zhorne practices at 200 Hawkins Dr Dept Of Pediatrics, Iowa City, IA 52242. The listed phone number is (515) 201-9683.

What is Derek Zhorne's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Derek Zhorne enrolled in Medicare?

Yes. Derek Zhorne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Derek Zhorne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Zhorne reassigns Medicare benefits to State University Of Iowa (Iowa City, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Zhorne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Zhorne accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Derek Zhorne 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 Zhorne was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.