DR. DEREK DUANE MOUNSEY DO, MHA
NPI 1205464203
Internal Medicine in Carmel, IN

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
10590 N MERIDIAN ST, CARMEL, IN 46290(317) 338-6666 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2023, Jun 22, 2023, Mar 27, 2020 (3 updates tracked since 2020).

About Dr. Derek Duane Mounsey Do, Mha NPPES

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

DR. DEREK DUANE MOUNSEY DO, MHA (NPI 1205464203) is an individual internal medicine provider in Carmel, Indiana, licensed in Indiana (02007155A) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205464203
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DEREK DUANE MOUNSEYCredential: DO, MHA
Location Address10590 N MERIDIAN STCarmel, IN 46290-1028
Mailing Address10590 N Meridian StCarmel, IN 46290-1028
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateMarch 19, 20243 updates tracked since enumeration
NPPES CertifiedMarch 19, 2024
✔ NPI 1205464203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 02007155A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 02007155A (IN)
10590 N MERIDIAN ST, Carmel, IN 46290

Secondary Practice Locations 2

Location 18450 Northwest BlvdIndianapolis, IN 46278-1381 · Phone (317) 956-1000
Location 28414 Naab Rd Ste 100Indianapolis, IN 46260-1972 · Phone (317) 338-7510 · Fax (317) 338-7539

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

Dr. Derek Duane Mounsey Do, Mha 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 ID9234553744
PECOS Enrollment IDI20230711001550
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

3

Medicare enrollment records show Derek Mounsey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
8425 HARCOURT RD
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 945 clinicians in this Medicare group
Orthopaedic Surgery
8402 HARCOURT RD, SUITE 125
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 348 clinicians in this Medicare group
Family Medicine
2001 W 86TH ST
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 510 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.

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

St Vincent Heart Center

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipProprietary
CMS Certification Number150153
Location10580 N Meridian StCarmel, IN 46290 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46290 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

Internal Medicine
10590 N MERIDIAN ST
CARMEL, IN 46290
Internal Medicine (Clinical Cardiac Electrophysiology)
10590 N MERIDIAN ST
INDIANAPOLIS, IN 46290
Internal Medicine (Clinical Cardiac Electrophysiology)
10590 N MERIDIAN ST
INDIANAPOLIS, IN 46290
Internal Medicine (Cardiovascular Disease)
10590 N MERIDIAN ST
INDIANAPOLIS, IN 46290
Internal Medicine (Interventional Cardiology)
10590 N MERIDIAN ST
INDIANAPOLIS, IN 46290
Student in an Organized Health Care Education/Training Program
10590 N MERIDIAN ST
CARMEL, IN 46290
Internal Medicine (Cardiovascular Disease)
10590 N MERIDIAN ST
INDIANAPOLIS, IN 46290
Internal Medicine (Cardiovascular Disease)
10590 N MERIDIAN ST
INDIANAPOLIS, IN 46290

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 Mounsey's NPI number?

The NPI number for Derek Mounsey is 1205464203. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Derek Mounsey located?

Derek Mounsey practices at 10590 N Meridian St, Carmel, IN 46290. The listed phone number is (317) 338-6666.

What is Derek Mounsey's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Derek Mounsey enrolled in Medicare?

Yes. Derek Mounsey 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 Mounsey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Mounsey reassigns Medicare benefits to 3 organizations: St Vincent Medical Group Inc (Indianapolis, IN), Orthopaedics-Indianapolis, Inc (Indianapolis, IN) and St Vincent Physician Services Hospital And Health Care Center (Indianapolis, IN). 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 Mounsey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Mounsey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Derek Mounsey 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.

Is Derek Mounsey affiliated with any hospitals?

According to CMS data, Derek Mounsey is affiliated with Ascension St Vincent Hospital and St Vincent Heart Center.

When was this NPI record last updated?

The NPPES record for Derek Mounsey was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.