DR. DEREK JIMENEZ M.D.
NPI 1194846923
Internal Medicine - Nephrology in Pensacola, FL

Q: What is Derek Jimenez's NPI number?

The NPI number for Derek Jimenez is 1194846923. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Q: What is Derek Jimenez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Derek Jimenez was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 02, 2007PECOS EnrolledAccepts Medicare Assignment

77.94/100

CMS Quality Rating

1619 CREIGHTON RD STE 1, PENSACOLA, FL 32504(850) 444-4700(850) 434-8144 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Dec 28, 2021, Jun 11, 2021 and 3 more (6 updates tracked since 2017).

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About Dr. Derek Jimenez M.d. NPPES

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

DR. DEREK JIMENEZ M.D. (NPI 1194846923) is an individual nephrology provider in Pensacola, Florida, licensed in Florida (ME97915) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1194846923

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. DEREK JIMENEZCredential: M.D.

Location Address1619 CREIGHTON RD STE 1Pensacola, FL 32504-7152

Mailing AddressPo Box 11037Pensacola, FL 32524-1037 · (850) 444-7000 · Fax (850) 444-7497

Phone(850) 444-4700

Fax(850) 434-8144

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateApril 2, 2007

Last NPPES UpdateJuly 21, 20226 updates tracked since enumeration

NPPES CertifiedDecember 28, 2021

✔ NPI 1194846923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in FL · ME97915✔ Licensed in AL · MD.30541

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1619 CREIGHTON RD STE 1, Pensacola, FL 32504

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Secondary Practice Locations 10

Location 16001 Industrial BlvdCentury, FL 32535-3312 · Phone (850) 444-4700 · Fax (850) 434-8144

Location 25149 N 9th Ave Ste G35Pensacola, FL 32504-8733 · Phone (850) 444-4700 · Fax (850) 434-8144

Location 32940 N Blue Angel PkwyPensacola, FL 32506-2925 · Phone (850) 444-4700 · Fax (850) 434-8144

Location 41717 N E St Ste 403Pensacola, FL 32501-6334 · Phone (850) 444-4700 · Fax (850) 434-8144

Location 5221 E Redstone AveCrestview, FL 32539-5373 · Phone (850) 398-6606 · Fax (850) 398-6424

Location 64304 Lancaster DrNiceville, FL 32578-4563 · Phone (850) 862-2385 · Fax (850) 862-0482

Location 7319 Green Acres Rd Ste 103Fort Walton Beach, FL 32547-1170 · Phone (850) 862-2385 · Fax (850) 862-0482

Location 814114 Alabama StJay, FL 32565-1219 · Phone (850) 444-4700 · Fax (850) 434-8144

Location 95934 Berryhill Medical Park Dr # 1Milton, FL 32570 · Phone (850) 623-4771 · Fax (850) 623-3938

Location 102583 Gulf Breeze PkwyGulf Breeze, FL 32563-3043 · Phone (850) 444-4700

Other Identifiers 3

Medicaid278621400FL

OtherME97915FL · Medical License

OtherMD.30541AL · Alabama Medical Licensure

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama and more.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

Dr. Derek Jimenez M.d. 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 ID5991890428

PECOS Enrollment IDI20070928000406, I20110121000825

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 11

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 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.

1,125 services786 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.

837 services306 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

393 services158 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

352 services53 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

168 services146 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

126 services117 patients

Hospital Affiliations CMS Care Compare 5

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100025

Location5151 N 9th AvePensacola, FL 32504 · Escambia County

Emergency services Birthing friendly

Hca Florida Twin Cities Hospital

Acute Care Hospitals · Niceville, FL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number100054

Location2190 Hwy 85 NNiceville, FL 32578 · Okaloosa County

Emergency services

North Okaloosa Medical Center

Acute Care Hospitals · Crestview, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100122

Location151 Redstone Ave SECrestview, FL 32539 · Okaloosa County

Emergency services Birthing friendly

Hca Florida Fort Walton-Destin Hospital

Acute Care Hospitals · Fort Walton Beach, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100223

Location1000 Mar-Walt DrFort Walton Beach, FL 32547 · Okaloosa County

Emergency services Birthing friendly

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100292

Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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.

77.94/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

54.48

Promoting Interoperability

100

Improvement Activities

Cost

55.31

Reported Quality Measures

Controlling High Blood Pressure

52%413 patients3/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

43%415 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

97%2,897 patients4/55-star benchmark: 100%

e-Prescribing

99%1,764 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%1,315 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

21%1,678 patients1/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 836 patients

Patients screened: 100% · 836 patients

97%67 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%1,810 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 1,344 patients

Patients totalRate: 3% · 1,344 patients

2%1,344 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

9 suppliers49 claims4,735 services$0.30 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers26 claims3,900 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

6 suppliers28 claims5,040 services$0.18 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

11 suppliers44 claims44 services$18.08 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

10 suppliers62 claims70 services$12.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MISS JULIE ANN STRONSKI APRN

Nurse Practitioner