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DR. ADAM KIRK DERRICKSON M.D.
NPI 1265525414
Internal Medicine in Scott Afb, IL

Active since October 02, 2006PECOS Enrolled
310 W LOSEY ST, SCOTT AFB, IL 62225(618) 256-7799 Get Directions Write a Review

NPPES record last updated: November 8, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Adam Kirk Derrickson M.d. NPPES

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

DR. ADAM KIRK DERRICKSON M.D. (NPI 1265525414) is an individual internal medicine provider in Scott Afb, Illinois, licensed in Illinois (036.123597) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265525414
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ADAM KIRK DERRICKSONCredential: M.D.
Location Address310 W LOSEY STScott Afb, IL 62225-5250
Mailing Address310 W Losey StScott Afb, IL 62225-5250
Phone(618) 256-7799
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateNovember 8, 2012
✔ NPI 1265525414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036.123597✔ Licensed in OH · TRAINING LICENSE
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
310 W LOSEY ST, Scott Afb, IL 62225
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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 (PECOS)

Dr. Adam Kirk Derrickson M.d. 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 62225 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 20

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

DR. TODD ALAN SCHULTZ D.M.D.
Dentist (Oral and Maxillofacial Surgery)
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-7079
DAWN WILSON PT
Physical Therapist
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6267
MR. SEAN J MCNAMARA RPH.
Pharmacist
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6150
JESSICA SELENA PABON PHARMD.
Pharmacist
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225
St. Clair County (618) 256-9355
DR. PATSY FRANCES KREMSREITER MD
Family Medicine
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-9355
JOAN FOMBOH TELAZIE-SIMONS RN
Registered Nurse
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225
St. Clair County (618) 256-9355
DR. SARAH KATHERINE TURBUSH DDS
Dentist (Prosthodontics)
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6667
DR. CASEY TIMMERMAN DO
Obstetrics & Gynecology
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-7669

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 Adam Derrickson's NPI number?

The NPI number for Adam Derrickson is 1265525414. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Adam Derrickson located?

Adam Derrickson practices at 310 W Losey St, Scott Afb, IL 62225. The listed phone number is (618) 256-7799.

What is Adam Derrickson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adam Derrickson enrolled in Medicare?

Yes. Adam Derrickson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Derrickson was last updated on November 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.