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DEREK FENTON
NPI 1245923424
Nurse Practitioner - Family in Ogdensburg, NY

Active since June 01, 2023PECOS EnrolledAccepts Medicare Assignment
102 FORD ST, OGDENSBURG, NY 13669(315) 713-9350 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Fenton NPPES

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

DEREK FENTON (NPI 1245923424) is an individual family provider in Ogdensburg, New York, licensed in New York (351949) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of State University Of Ny Upstate Medical University (2023).

NPPES Registry Identity

NPI1245923424
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDEREK FENTON
Location Address102 FORD STOgdensburg, NY 13669-1402
Mailing Address102 Ford StOgdensburg, NY 13669-1402
Phone(315) 713-9350
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2023
Enumeration DateJune 1, 2023
NPPES CertifiedJune 1, 2023
✔ NPI 1245923424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 351949
102 FORD ST, Ogdensburg, NY 13669
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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 Fenton 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 ID2961861851
PECOS Enrollment IDI20230711000508
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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13669 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 4

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

MS. MICHELE MARIE KINNEY RDH
Dental Hygienist
102 FORD ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9350
SARA GAIBIE DMD
Dentist
102 FORD ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9350
DR. PAZLIDDIN KOBILOV DDS
Dentist
102 FORD ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9350
DR. JOHNNY MENDOZA MD
Family Medicine
102 FORD ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9350

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 Fenton's NPI number?

The NPI number for Derek Fenton is 1245923424. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Derek Fenton located?

Derek Fenton practices at 102 Ford St, Ogdensburg, NY 13669. The listed phone number is (315) 713-9350.

What is Derek Fenton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Derek Fenton enrolled in Medicare?

Yes. Derek Fenton 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.

Is Derek Fenton affiliated with any hospitals?

According to CMS data, Derek Fenton is affiliated with Canton-Potsdam Hospital.

When was this NPI record last updated?

The NPPES record for Derek Fenton was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.