DR. DEREK BRANDON PYLES MD
NPI 1255592481
Hospitalist in Hillsborough, NC

Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment
460 WATERSTONE DR, HILLSBOROUGH, NC 27278(507) 269-3917 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Derek Brandon Pyles Md NPPES

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

DR. DEREK BRANDON PYLES MD (NPI 1255592481) is an individual hospitalist provider in Hillsborough, North Carolina, licensed in North Carolina (2011-01249) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of University Of Cincinnati College Of Medicine (2008).

NPPES Registry Identity

NPI1255592481
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. DEREK BRANDON PYLESCredential: MD
Location Address460 WATERSTONE DRHillsborough, NC 27278
Mailing Address5207 Longwood DrDurham, NC 27713 · (507) 269-3917
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2008
Enumeration DateJune 20, 2008
Last NPPES UpdateMarch 15, 2017
✔ NPI 1255592481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NC · 2011-01249
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 52035 (MN)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
460 WATERSTONE DR, Hillsborough, NC 27278

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 Brandon Pyles 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 ID8628248374
PECOS Enrollment IDI20110907001059
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 Reassignment

Medicare enrollment records show Derek Pyles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
101 MANNING DR
Chapel Hill, NC 27514
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,797 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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
183 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
37 services20 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
31 services31 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27278 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$15.99 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$83.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Pharmacist (Oncology)
460 WATERSTONE DR, DEPARTMENT OF PHARMACY
HILLSBOROUGH, NC 27278
Orthopaedic Surgery
460 WATERSTONE DR
HILLSBOROUGH, NC 27278
Obstetrics & Gynecology
460 WATERSTONE DR
HILLSBOROUGH, NC 27278
Dietitian, Registered
460 WATERSTONE DR
HILLSBOROUGH, NC 27278
Physical Therapist
460 WATERSTONE DR, UNC HOSPITALS HILLSBOROUGH CAMPUS
HILLSBOROUGH, NC 27278
Pharmacist (Oncology)
460 WATERSTONE DR
HILLSBOROUGH, NC 27278
Internal Medicine (Gastroenterology)
460 WATERSTONE DR, GI PROCEDURES UNIT
HILLSBOROUGH, NC 27278
Obstetrics & Gynecology
460 WATERSTONE DR
HILLSBOROUGH, NC 27278

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 Pyles's NPI number?

The NPI number for Derek Pyles is 1255592481. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Derek Pyles located?

Derek Pyles practices at 460 Waterstone Dr, Hillsborough, NC 27278. The listed phone number is (507) 269-3917.

What is Derek Pyles's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Derek Pyles enrolled in Medicare?

Yes. Derek Pyles 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 organization bills Medicare for Derek Pyles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Pyles reassigns Medicare benefits to University Of North Carolina At Chapel Hill (Chapel Hill, NC). The 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 Pyles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Derek Pyles affiliated with any hospitals?

According to CMS data, Derek Pyles is affiliated with Unc Hospitals.

When was this NPI record last updated?

The NPPES record for Derek Pyles was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.