DEREK C. STOKES MD
NPI 1174182562
Physical Medicine & Rehabilitation in Boulder, CO

Active since June 10, 2019PECOS EnrolledAccepts Medicare Assignment
95.91/100
CMS Quality Rating
2150 STADIUM DR, BOULDER, CO 80309(303) 315-9900 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 11, 2025, Feb 7, 2025, Aug 6, 2024 and 5 more (8 updates tracked since 2019).

About Derek C. Stokes Md NPPES

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

DEREK C. STOKES MD (NPI 1174182562) is an individual physical medicine & rehabilitation provider in Boulder, Colorado, licensed in Colorado (DR.0073379) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (2019).

NPPES Registry Identity

NPI1174182562
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDEREK C. STOKESCredential: MD
Location Address2150 STADIUM DRBoulder, CO 80309-6972
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2019
Enumeration DateJune 10, 2019
Last NPPES UpdateFebruary 11, 20258 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1174182562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Licenses✔ Licensed in CO · DR.0073379✔ Licensed in UT · 13327652-1205
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X · License 13327652-1205 (UT)
2150 STADIUM DR, Boulder, CO 80309

Accepted Insurance

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 C. Stokes 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 ID1052649589
PECOS Enrollment IDI20240819003459
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 Reassignments

2

Medicare enrollment records show Derek Stokes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
2150 STADIUM DR, 2ND FLOOR
Boulder, CO 80309
  • Reassigned Medicare billing, Colorado enrollment
  • 4,283 clinicians in this Medicare group
Hematology & Oncology
1950 CIRCLE OF HOPE DR
Salt Lake City, UT 84112
  • Reassigned Medicare billing, Utah enrollment
  • 163 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
100 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 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.
27 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services19 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
23 services20 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
17 services11 patients

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.

95.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.58
Promoting Interoperability100
Improvement Activities40

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.

Specialist/Technologist (Athletic Trainer)
2150 STADIUM DR, CU ATHLETICS, 368 UCB
BOULDER, CO 80309
Physical Therapist (Sports)
2150 STADIUM DR
BOULDER, CO 80309
Physical Therapist
2150 STADIUM DR
BOULDER, CO 80309
Physical Therapist
2150 STADIUM DR
BOULDER, CO 80309
Physical Therapist (Sports)
2150 STADIUM DR
BOULDER, CO 80309
Physical Therapist
2150 STADIUM DR
BOULDER, CO 80309
Physical Therapist (Sports)
2150 STADIUM DR
BOULDER, CO 80309
Physical Therapist
2150 STADIUM DR
BOULDER, CO 80309

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 Stokes's NPI number?

The NPI number for Derek Stokes is 1174182562. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Derek Stokes located?

Derek Stokes practices at 2150 Stadium Dr, Boulder, CO 80309. The listed phone number is (303) 315-9900.

What is Derek Stokes's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Derek Stokes enrolled in Medicare?

Yes. Derek Stokes 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.

Which organizations bill Medicare for Derek Stokes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Stokes reassigns Medicare benefits to 2 organizations: University Physicians Incorporated (Boulder, CO) and University Of Utah Specialty Services (Salt Lake City, UT). Each 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 Stokes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Stokes accept?

Health plans from Medica and Select Health list Derek Stokes 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 Stokes was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.