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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DERRY DEAN DYE JR. MD
NPI 1215949599
Pediatrics in Poplar Bluff, MO

Active since August 13, 2006PECOS Enrolled
225 PHYSICIANS PARK STE 200, POPLAR BLUFF, MO 63901(573) 727-5500(573) 313-3684 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Sep 22, 2026, Aug 28, 2026 and 5 more (8 updates tracked since 2017).

About Dr. Derry Dean Dye Jr. Md NPPES

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

DR. DERRY DEAN DYE JR. MD (NPI 1215949599) is an individual pediatrics provider in Poplar Bluff, Missouri, licensed in Missouri (R5G11) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains 25 additional practice locations.

NPPES Registry Identity

NPI1215949599
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DERRY DEAN DYE JR.Credential: MD
Location Address225 PHYSICIANS PARK STE 200Poplar Bluff, MO 63901-3921
Mailing Address110 S 2nd StEllington, MO 63638-9400 · (573) 663-2313 · Fax (573) 663-2441
Phone(573) 727-5500
Fax(573) 313-3684
Sole ProprietorNo
Enumeration DateAugust 13, 2006
Last NPPES UpdateOctober 13, 20268 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1215949599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · R5G11
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
225 PHYSICIANS PARK STE 200, Poplar Bluff, MO 63901
Open in Google Maps ↗

Secondary Practice Locations 25

Location 1109 Plum St Ste CDoniphan, MO 63935-1225 · Phone (573) 351-0150
Location 2109 LeRoux StDoniphan, MO 63935-1038 · Phone (573) 996-2136 · Fax (573) 996-5216
Location 33001 Warrior Ln Ste APoplar Bluff, MO 63901-8685 · Phone (573) 785-7453 · Fax (573) 785-7429
Location 41 Hals Plz Ste APiedmont, MO 63957-1631 · Phone (573) 223-4800 · Fax (573) 223-7911
Location 517959 Main StEminence, MO 65466-6375 · Phone (573) 226-5505 · Fax (573) 226-1256
Location 618 Viburnum Center RdViburnum, MO 65566-7802 · Phone (573) 244-5406 · Fax (573) 244-5591
Location 7603 E Summit StDoniphan, MO 63935-1142 · Phone (573) 996-3667 ext. 1117 · Fax (573) 413-4487
Location 861 Highway YEllington, MO 63638-7802 · Phone (573) 663-2525 · Fax (573) 663-7844
Location 9109 Plum St Ste ADoniphan, MO 63935-1225 · Phone (573) 351-0150 · Fax (573) 996-2245
Location 10101 E Batten StreetNaylor, MO 63953 · Phone (573) 804-1779 · Fax (573) 804-1789
Location 11202 Allen StAnnapolis, MO 63620-8778 · Phone (573) 598-4213 · Fax (573) 598-1101
Location 12405 Main StreetVan Buren, MO 63965 · Phone (573) 323-4253 · Fax (573) 323-0154
Location 133277 US Highway 160 WDoniphan, MO 63935-5710 · Phone (573) 804-9527 · Fax (573) 804-9536
Location 141300 Victory LnPoplar Bluff, MO 63901-3300 · Phone (573) 785-5566 ext. 17097 · Fax (573) 413-4194
Location 15289 Broadway StNeelyville, MO 63954-7176 · Phone (573) 804-9494 · Fax (573) 804-9493
Location 16225 Physicians Park Ste 104Poplar Bluff, MO 63901-3918 · Phone (573) 413-4065 · Fax (573) 354-5013
Location 172879 James BlvdPoplar Bluff, MO 63901-3395 · Phone (573) 609-8800 · Fax (573) 776-6124
Location 1811001 US-160Harviell, MO 63945 · Phone (573) 804-9561 · Fax (573) 804-9581
Location 19315 W Mulberry Ste APilot Knob, MO 63663-7883 · Phone (573) 546-0602 · Fax (573) 546-0546
Location 20711 Nickey StPoplar Bluff, MO 63901-6544 · Phone (573) 785-7047 ext. 13040 · Fax (573) 413-4192
Location 21220 East Broad StreetNaylor, MO 63953 · Phone (573) 399-2311 · Fax (573) 399-2076
Location 22109 Plum St Ste BDoniphan, MO 63935-1225 · Phone (573) 351-0220 · Fax (573) 996-2246
Location 23225 Physicians Park Ste 304Poplar Bluff, MO 63901-3930 · Phone (573) 727-5500 ext. 6 · Fax (573) 399-2646
Location 242300 Baugh LnPoplar Bluff, MO 63901-2402 · Phone (573) 785-3037 ext. 16044 · Fax (573) 413-4506
Location 25225 Physicians Park Ste 102Poplar Bluff, MO 63901-3918 · Phone (573) 727-5500 ext. 2 · Fax (573) 413-4609

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derry Dean Dye Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Derry Dye reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Big Springs Medical Association
Same address
Physiological Laboratory
225 PHYSICIANS PARK STE 104
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 104 clinicians in this Medicare group
NPI 1265395537 (573) 413-4065
Saint Francis Medical Center
0.1 mi
Radiology
223 PHYSICIANS PARK
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 595 clinicians in this Medicare group
NPI 1073165924 (573) 331-3000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 8

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

DR. MARTHA J MARGREITER MD
Pediatrics
225 PHYSICIANS PARK STE 200
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
DR. CLAUDIA KARIN PREUSCHOFF MD
Pediatrics
225 PHYSICIANS PARK STE 200
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
BIG SPRINGS MEDICAL ASSOCIATION
Clinic/Center (Federally Qualified Health Center (FQHC))
225 PHYSICIANS PARK STE 200
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
DR. DEBRA ANN ROBERTSON MD
Pediatrics
225 PHYSICIANS PARK STE 200
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
LINDSAY R MCVEY FNP
Nurse Practitioner (Family)
225 PHYSICIANS PARK STE 200
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
STUART SKYLER KINSEY DO
Pediatrics
225 PHYSICIANS PARK STE 200
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
SAINT FRANCIS MEDICAL CENTER
Neurological Surgery
225 PHYSICIANS PARK STE 200
POPLAR BLUFF, MO 63901
Butler County (573) 331-5677
AMBER RENE MAPLES FNP
Nurse Practitioner (Family)
225 PHYSICIANS PARK STE 200
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500

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 Derry Dye's NPI number?

The NPI number for Derry Dye is 1215949599. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Derry Dye located?

Derry Dye practices at 225 Physicians Park Ste 200, Poplar Bluff, MO 63901. The listed phone number is (573) 727-5500.

What is Derry Dye's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Derry Dye enrolled in Medicare?

Yes. Derry Dye is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Derry Dye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derry Dye reassigns Medicare benefits to 2 organizations: Big Springs Medical Association (Poplar Bluff, MO) and Saint Francis Medical Center (Poplar Bluff, MO). 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 Derry Dye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derry Dye accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Derry Dye 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 Derry Dye was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.