DEREK WAKEFIELD DO
NPI 1164124541
Family Medicine in Knoxville, TN

Q: What is Derek Wakefield's NPI number?

The NPI number for Derek Wakefield is 1164124541. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Derek Wakefield's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Wakefield was last updated on August 17, 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 March 20, 2023PECOS EnrolledAccepts Medicare Assignment

1208 MERCHANT DR, KNOXVILLE, TN 37912(865) 688-2522(833) 908-2097 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2026, Jul 31, 2026, Mar 20, 2023 (3 updates tracked since 2023).

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About Derek Wakefield Do NPPES

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

DEREK WAKEFIELD DO (NPI 1164124541) is an individual family medicine provider in Knoxville, Tennessee, licensed in Tennessee (7048) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2023).

NPPES Registry Identity

NPI1164124541

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDEREK WAKEFIELDCredential: DO

Location Address1208 MERCHANT DRKnoxville, TN 37912-4707

Mailing Address1208 Merchant DrKnoxville, TN 37912-4707 · (865) 688-2522 · Fax (833) 908-2097

Phone(865) 688-2522

Fax(833) 908-2097

Sole ProprietorNo

Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2023

Enumeration DateMarch 20, 2023

Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1164124541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 7048

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1208 MERCHANT DR, Knoxville, TN 37912

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derek Wakefield Do 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 ID6204297617

PECOS Enrollment IDI20260901002189

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 Wakefield reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group, PLLC

Same address

Family Medicine

1208 MERCHANTS DR
Knoxville, TN 37912

Reassigned Medicare billing, Tennessee enrollment
1,003 clinicians in this Medicare group

NPI 1962581587 (865) 688-2522

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

Hospital Affiliations CMS Care Compare

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37912 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 11

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

DR. ERIKA LOVE WILD HERRERA DO

Family Medicine