DR. DEREK BRENDEN HOYME M.D.
NPI 1245469808
Pediatrics - Pediatric Cardiology in Madison, WI
About Dr. Derek Brenden Hoyme M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEREK BRENDEN HOYME M.D. (NPI 1245469808) is an individual pediatric cardiology provider in Madison, Wisconsin, licensed in Iowa (R-9777) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of State Un Of Ny, Buffalo School Of Dental Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
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 Brenden Hoyme 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.
Medicare Billing Reassignments
8Medicare enrollment records show Derek Hoyme reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
Elm Grove, WI 53122
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 clinicians in this Medicare group
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Wisconsin Rapids, WI 54494
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Aspirus Medical Group, Inc.
- 415 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 673 clinicians in this Medicare group
Stevens Point, WI 54482
- Reassigned Medicare billing, Wisconsin enrollment
- 633 clinicians in this Medicare group
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 742 clinicians in this Medicare group
Athens, WI 54411
- Reassigned Medicare billing, Wisconsin enrollment
- 376 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.
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.
MADISON, WI 53792
MADISON, WI 53792
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 Hoyme's NPI number?
The NPI number for Derek Hoyme is 1245469808. It was assigned to this individual provider in the NPPES registry on July 3, 2009.
Where is Derek Hoyme located?
Derek Hoyme practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-6420.
What is Derek Hoyme's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Derek Hoyme enrolled in Medicare?
Yes. Derek Hoyme 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 Hoyme's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Hoyme reassigns Medicare benefits to 8 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI), Gundersen Lutheran Medical Center Inc (Elm Grove, WI), Aurora Medical Group, Inc. (West Allis, WI), Aspirus Riverview Hospital & Clinics, Inc. (Wisconsin Rapids, WI), St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI) and 3 more organizations, listed in the Medicare section above. 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 Hoyme's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Hoyme accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan and Group Health Cooperative-SCW and 5 other insurers list Derek Hoyme 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 Derek Hoyme was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 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.
# Dr. Derek Brenden Hoyme, M.D. · NPI 1245469808
Pediatric Cardiology physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since July 3, 2009.
## Identity
- **NPI:** 1245469808 (Entity type: Individual)
- **Enumerated:** July 3, 2009
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** R-9777 (Iowa)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 600 HIGHLAND AVE, Madison, WI 53792-0001
- **Phone:** (608) 263-6420 · **Fax:** (608) 833-6932
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI); Gundersen Lutheran Medical Center Inc (NPI 1548992316, Elm Grove, WI); Aurora Medical Group, Inc. (NPI 1457592735, West Allis, WI); Aspirus Riverview Hospital & Clinics, Inc. (NPI 1568821122, Wisconsin Rapids, WI); St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (NPI 1730184342, Sheboygan, WI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State Un Of Ny, Buffalo School Of Dental Medicine, class of 2009
## Record status
- **NPPES last updated:** September 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245469808) · Data from the CMS NPPES public registry.