DR. DEREK JOHN DAVIES M.D.
NPI 1205063559
Student in an Organized Health Care Education/Training Program in Portsmouth, VA

Active since June 14, 2009PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-5236 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Derek John Davies M.d. NPPES

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

DR. DEREK JOHN DAVIES M.D. (NPI 1205063559) is an individual student in an organized health care education/training program in Portsmouth, Virginia and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Sentara Obici Hospital, and is a graduate of Albany Medical College Of Union University (2009).

NPPES Registry Identity

NPI1205063559
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DEREK JOHN DAVIESCredential: M.D.
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2009
Enumeration DateJune 14, 2009
Last NPPES UpdateSeptember 9, 2010
NPI 1205063559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708

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 John Davies 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 ID7618209982
PECOS Enrollment IDI20191106001560
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
336 services332 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
294 services283 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
108 services105 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
56 services55 patients

Hospital Affiliations CMS Care Compare 4

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

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

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.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.71
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.

Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Orthopaedic Surgery
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER
PORTSMOUTH, VA 23708

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 Davies's NPI number?

The NPI number for Derek Davies is 1205063559. It was assigned to this individual provider in the NPPES registry on June 14, 2009.

Where is Derek Davies located?

Derek Davies practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-5236.

What is Derek Davies's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Derek Davies enrolled in Medicare?

Yes. Derek Davies 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.

Is Derek Davies affiliated with any hospitals?

According to CMS data, Derek Davies is affiliated with Sentara Obici Hospital, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Derek Davies was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.