ELIZABETH DERHAM MD
NPI 1144481060
Ophthalmology in Philadelphia, PA

Active since June 23, 2008PECOS EnrolledAccepts Medicare Assignment
88.33/100
CMS Quality Rating
840 WALNUT ST STE 1230, PHILADELPHIA, PA 19107(215) 928-3041(215) 928-3225 Get Directions Write a Review

NPPES record last updated: November 29, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Derham Md NPPES

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

ELIZABETH DERHAM MD (NPI 1144481060) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD451087) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Wills Eye Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2008).

NPPES Registry Identity

NPI1144481060
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameELIZABETH DERHAMCredential: MD
Location Address840 WALNUT ST STE 1230Philadelphia, PA 19107-5109
Mailing Address840 Walnut St Ste 1230Philadelphia, PA 19107-5109 · (215) 928-3041
Fax(215) 928-3225
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2008
Enumeration DateJune 23, 2008
Last NPPES UpdateNovember 29, 2017
NPI 1144481060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in PA · MD451087 Licensed in NJ · 25MA09094200
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
840 WALNUT ST STE 1230, Philadelphia, PA 19107

Other Names 1

Former Name (1)Elizabeth Blidner Md

Other Identifiers 1

Other364763PA · Medicare

Accepted 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

Elizabeth Derham 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 ID1456508373
PECOS Enrollment IDI20140924000214
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 14

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
256 services247 patients
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.
165 services146 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
122 services119 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
79 services79 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
77 services77 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
68 services66 patients

Hospital Affiliations CMS Care Compare

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

Wills Eye Hospital

Acute Care Hospitals · Philadelphia, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390331
Location840 Walnut StreetPhiladelphia, PA 19107 · Philadelphia County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

88.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.67
Promoting Interoperability100
Improvement Activities40
Cost69.44

Other Providers at the Same Location NPPES 13

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

Ophthalmology
840 WALNUT ST STE 1230
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1230
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1230
PHILADELPHIA, PA 19107
Optometrist
840 WALNUT ST STE 1230
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1230
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1230
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1230
PHILADELPHIA, PA 19107
Optometrist
840 WALNUT ST STE 1230
PHILADELPHIA, PA 19107

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 Elizabeth Derham's NPI number?

The NPI number for Elizabeth Derham is 1144481060. It was assigned to this individual provider in the NPPES registry on June 23, 2008. The provider is also known as Elizabeth Blidner MD.

Where is Elizabeth Derham located?

Elizabeth Derham practices at 840 Walnut St Ste 1230, Philadelphia, PA 19107. The listed phone number is (215) 928-3041.

What is Elizabeth Derham's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Elizabeth Derham enrolled in Medicare?

Yes. Elizabeth Derham 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 Elizabeth Derham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Elizabeth Derham 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 Elizabeth Derham affiliated with any hospitals?

According to CMS data, Elizabeth Derham is affiliated with Wills Eye Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Derham was last updated on November 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.