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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: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2026, Jun 5, 2026, Feb 9, 2023 and 2 more (5 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 26 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 UpdateJuly 22, 20265 updates tracked since enumeration
NPPES CertifiedJuly 22, 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 26

Location 1405 Main StreetVan Buren, MO 63965 · Phone (573) 323-4253 · Fax (573) 323-0154
Location 2109 LeRoux StDoniphan, MO 63935-1038 · Phone (573) 996-2136 · Fax (573) 996-5216
Location 33277 US Highway 160 WDoniphan, MO 63935-5710 · Phone (573) 804-9527 · Fax (573) 804-9536
Location 4289 Broadway StNeelyville, MO 63954-7176 · Phone (573) 804-9494 · Fax (573) 804-9493
Location 5109 Plum St Ste CDoniphan, MO 63935-1225 · Phone (573) 351-0150
Location 6225 Physicians Park Ste 104Poplar Bluff, MO 63901-3918 · Phone (573) 413-4065 · Fax (573) 354-5013
Location 72210 Barron Rd Ste 222Poplar Bluff, MO 63901-1906 · Phone (573) 351-0138 · Fax (573) 609-8713
Location 8225 Physicians Park Ste 304Poplar Bluff, MO 63901-3930 · Phone (573) 727-5500 ext. 6 · Fax (573) 399-2646
Location 9109 Plum St Ste BDoniphan, MO 63935-1225 · Phone (573) 351-0220 · Fax (573) 996-2246
Location 10109 Plum St Ste ADoniphan, MO 63935-1225 · Phone (573) 351-0150 · Fax (573) 996-2245
Location 1161 Highway YEllington, MO 63638-7802 · Phone (573) 663-2525 · Fax (573) 663-7844
Location 121 Hals Plz Ste APiedmont, MO 63957-1631 · Phone (573) 223-4800 · Fax (573) 223-7911
Location 1317959 Main StEminence, MO 65466-6375 · Phone (573) 226-5505 · Fax (573) 226-1256
Location 1418 Viburnum Center RdViburnum, MO 65566-7802 · Phone (573) 244-5406 · Fax (573) 244-5591
Location 15603 E Summit StDoniphan, MO 63935-1142 · Phone (573) 996-3667 ext. 1117 · Fax (573) 413-4487
Location 16711 Nickey StPoplar Bluff, MO 63901-6544 · Phone (573) 785-7047 ext. 13040 · Fax (573) 413-4192
Location 1711001 US-160Harviell, MO 63945 · Phone (573) 804-9561 · Fax (573) 804-9581
Location 18315 W Mulberry Ste APilot Knob, MO 63663-7883 · Phone (573) 546-0602 · Fax (573) 546-0546
Location 19202 Allen StAnnapolis, MO 63620-8778 · Phone (573) 598-4213 · Fax (573) 598-1101
Location 20101 E Batten StreetNaylor, MO 63953 · Phone (573) 804-1779 · Fax (573) 804-1789
Location 211300 Victory LnPoplar Bluff, MO 63901-3300 · Phone (573) 785-5566 ext. 17097 · Fax (573) 413-4194
Location 222300 Baugh LnPoplar Bluff, MO 63901-2402 · Phone (573) 785-3037 ext. 16044 · Fax (573) 413-4506
Location 23225 Physicians Park Ste 102Poplar Bluff, MO 63901-3918 · Phone (573) 727-5500 ext. 2 · Fax (573) 413-4609
Location 24220 East Broad StreetNaylor, MO 63953 · Phone (573) 399-2311 · Fax (573) 399-2076
Location 252879 James BlvdPoplar Bluff, MO 63901-3395 · Phone (573) 712-1610 · Fax (573) 776-6124
Location 262210 Barron Rd Ste 120Poplar Bluff, MO 63901-1922 · Phone (573) 785-6536 · Fax (573) 785-0100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 6

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
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
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.

When was this NPI record last updated?

The NPPES record for Derry Dye was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.