DR. WILLIAM L DERRICKSON DDS
NPI 1154460046
Dentist - General Practice in Brick, NJ

Active since February 06, 2007PECOS Enrolled
15 PRINCETON AVE, BRICK, NJ 08724(732) 840-1199 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. William L Derrickson Dds NPPES

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

DR. WILLIAM L DERRICKSON DDS (NPI 1154460046) is an individual general practice provider in Brick, New Jersey, licensed in New Jersey (22D102125500) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154460046
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WILLIAM L DERRICKSONCredential: DDS
Location Address15 PRINCETON AVEBrick, NJ 08724-3515
Mailing Address418 Bridlemere AveInterlaken, NJ 07712-4309 · (732) 660-0071
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1154460046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NJ · 22D102125500
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
15 PRINCETON AVE, Brick, NJ 08724

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 (PECOS)

Dr. William L Derrickson Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08724 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Other Providers at the Same Location NPPES 2

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

Dentist
15 PRINCETON AVE
BRICK, NJ 08724
Dentist (General Practice)
15 PRINCETON AVE
BRICK, NJ 08724

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 William Derrickson's NPI number?

The NPI number for William Derrickson is 1154460046. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is William Derrickson located?

William Derrickson practices at 15 Princeton Ave, Brick, NJ 08724. The listed phone number is (732) 840-1199.

What is William Derrickson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is William Derrickson enrolled in Medicare?

Yes. William Derrickson is registered in the Medicare PECOS enrollment system.

What insurance does William Derrickson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list William Derrickson 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 William Derrickson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.