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DR. MICHAEL IAN DERRICK M.D.
NPI 1275828717
Pediatrics - Pediatric Allergy/Immunology in Murfreesboro, TN

Active since June 13, 2011PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
1272 GARRISON DR, MURFREESBORO, TN 37129(615) 893-4480(615) 895-6212 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 25, 2022, Jul 21, 2022, Aug 1, 2017 (3 updates tracked since 2017).

About Dr. Michael Ian Derrick M.d. NPPES

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

DR. MICHAEL IAN DERRICK M.D. (NPI 1275828717) is an individual pediatric allergy/immunology provider in Murfreesboro, Tennessee, licensed in Tennessee (MD65969) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2017).

NPPES Registry Identity

NPI1275828717
Entity TypeIndividualMale
Primary Taxonomy2080P0201X
Provider Legal NameDR. MICHAEL IAN DERRICKCredential: M.D.
Location Address1272 GARRISON DRMurfreesboro, TN 37129-2598
Mailing Address1272 Garrison DrMurfreesboro, TN 37129-2598 · (615) 893-4480 · Fax (615) 895-6212
Phone(615) 893-4480
Fax(615) 895-6212
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2017
Enumeration DateJune 13, 2011
Last NPPES UpdateJuly 25, 20223 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1275828717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0201X
Licenses✔ Licensed in TN · MD65969✔ Licensed in KS · 04-40205✔ Licensed in MO · 2017023519
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
1272 GARRISON DR, Murfreesboro, TN 37129
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare.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. Michael Ian Derrick 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.

PECOS PAC ID3375763550
PECOS Enrollment IDI20220801000345
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 Michael Derrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Murfreesboro Medical Clinic, P.A.
Same address
Specialist
1272 GARRISON DR
Murfreesboro, TN 37129
  • Reassigned Medicare billing, Tennessee enrollment
  • 265 clinicians in this Medicare group
NPI 1487604609 (615) 893-4480

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
996 services19 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.
49 services29 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.
34 services34 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
30 services13 patients

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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.12
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.

HEATHER LYNN MARKS NP
Nurse Practitioner
1272 GARRISON DR
MURFREESBORO, TN 37129
Rutherford County (615) 893-4480
BRIA J TERRELL
Nurse Practitioner (Family)
1272 GARRISON DR
MURFREESBORO, TN 37129
Rutherford County (615) 867-8000
MRS. CANDICE KEY MORENO FNP
Nurse Practitioner (Family)
1272 GARRISON DR
MURFREESBORO, TN 37129
Rutherford County (615) 867-8010
VANCE ALFORD ADGENT
Nurse Practitioner (Family)
1272 GARRISON DR
MURFREESBORO, TN 37129
Rutherford County (615) 893-4480
ERIC YOUNG M.D.
Anesthesiology (Pain Medicine)
1272 GARRISON DR
MURFREESBORO, TN 37129
Rutherford County (161) 589-3448
THOMAS PAUL BUSHUR AUD, CCC-A
Audiologist
1272 GARRISON DR
MURFREESBORO, TN 37129
Rutherford County (615) 867-8110
MR. HUNTER LEE LAMPLEY APRN
Nurse Practitioner (Family)
1272 GARRISON DR
MURFREESBORO, TN 37129
Rutherford County (615) 893-4480
ANNE STANLEY
Nurse Practitioner (Pediatrics)
1272 GARRISON DR
MURFREESBORO, TN 37129
Rutherford County (615) 893-4480

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 Michael Derrick's NPI number?

The NPI number for Michael Derrick is 1275828717. It was assigned to this individual provider in the NPPES registry on June 13, 2011.

Where is Michael Derrick located?

Michael Derrick practices at 1272 Garrison Dr, Murfreesboro, TN 37129. The listed phone number is (615) 893-4480.

What is Michael Derrick's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Is Michael Derrick enrolled in Medicare?

Yes. Michael Derrick 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 Michael Derrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Derrick reassigns Medicare benefits to Murfreesboro Medical Clinic, P.A. (Murfreesboro, TN). 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 Michael Derrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Derrick accept?

Health plans from BlueCross BlueShield of Tennessee and Cigna Healthcare list Michael Derrick 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 Michael Derrick was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.