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DEREK HUGH ANDREINI MD
NPI 1235244898
Orthopaedic Surgery in Wheeling, WV

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL PARK, SUITE 703, WHEELING, WV 26003(304) 242-6373(304) 242-6371 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Hugh Andreini Md NPPES

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

DEREK HUGH ANDREINI MD (NPI 1235244898) is an individual orthopaedic surgery provider in Wheeling, West Virginia, licensed in West Virginia (13314) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Passavant, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1235244898
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDEREK HUGH ANDREINICredential: MD
Location Address1 MEDICAL PARK, SUITE 703Wheeling, WV 26003
Mailing Address1 Medical Park, Suite 703Wheeling, WV 26003 · (304) 242-6373 · Fax (304) 242-6371
Phone(304) 242-6373
Fax(304) 242-6371
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateAugust 21, 2006
Last NPPES UpdateJune 12, 2020
NPPES CertifiedJune 12, 2020
✔ NPI 1235244898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WV · 13314
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1 MEDICAL PARK, Wheeling, WV 26003
Open in Google Maps ↗

Other Identifiers 3

Medicaid0099314000WV
Medicaid0624328OH
Medicaid3136298WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Derek Hugh Andreini Md 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 ID9234230111
PECOS Enrollment IDI20100909001271
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 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services57 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
76 services44 patients
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.
20 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
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.

MOLLY E. FISHER SLP
Speech-Language Pathologist
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3000
KRISTINA JOHNSON PH.D.
Behavior Analyst
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-1134
MICHAEL GARMAN ATC,PTA
Specialist/Technologist (Athletic Trainer)
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3000
CATHERINE F SANSONE PT
Physical Therapist
1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003
Ohio County (304) 243-3124
BILLIE J JOHNSTON PT
Physical Therapist
1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003
Ohio County (304) 243-3124
ANGELA HENNIS
Nurse Practitioner (Family)
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3000
MADELINE F SHIPE CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3343
TERRY L STAKE M.D.
Radiology (Diagnostic Radiology)
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3270

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 Andreini's NPI number?

The NPI number for Derek Andreini is 1235244898. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Derek Andreini located?

Derek Andreini practices at 1 Medical Park Suite 703, Wheeling, WV 26003. The listed phone number is (304) 242-6373.

What is Derek Andreini's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Derek Andreini enrolled in Medicare?

Yes. Derek Andreini 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.

What insurance does Derek Andreini accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Derek Andreini 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 Andreini affiliated with any hospitals?

According to CMS data, Derek Andreini is affiliated with Upmc Passavant, Upmc Presbyterian Shadyside and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Derek Andreini was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.