Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DEREC STANISLAV DO
NPI 1295220689
Orthopaedic Surgery in Fort Worth, TX

Active since June 27, 2018PECOS Enrolled
1651 W ROSEDALE ST STE 200, FORT WORTH, TX 76104(817) 335-4316(817) 336-2504 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2026, Jun 27, 2018 (2 updates tracked since 2018).

About Dr. Derec Stanislav Do NPPES

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

DR. DEREC STANISLAV DO (NPI 1295220689) is an individual orthopaedic surgery provider in Fort Worth, Texas, licensed in Texas (U3658) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Medical City North Hills, and maintains a secondary practice location in Weatherford.

NPPES Registry Identity

NPI1295220689
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DEREC STANISLAVCredential: DO
Location Address1651 W ROSEDALE ST STE 200Fort Worth, TX 76104-7437
Mailing Address1651 W Rosedale St Ste 200Fort Worth, TX 76104-7437 · (817) 335-4316 · Fax (817) 336-2504
Fax(817) 336-2504
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 27, 2018
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
NPI 1295220689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · U3658
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1651 W ROSEDALE ST STE 200, Fort Worth, TX 76104

Secondary Practice Location 1

Location 11711 Martin Dr Ste 200Weatherford, TX 76086-6738 · Phone (682) 804-6019 · Fax (817) 336-2504

Accepted Insurance

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

Dr. Derec Stanislav Do 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 ID6800297706
PECOS Enrollment IDI20240708001359
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.

Hospital Affiliations CMS Care Compare 2

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

Medical City North Hills

Acute Care Hospitals · North Richland Hills, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450087
Location4401 Booth Calloway RoadNorth Richland Hills, TX 76180 · Tarrant County
Emergency services

Medical City Las Colinas

Acute Care Hospitals · Irving, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450822
Location6800 N Macarthur BlvdIrving, TX 75039 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
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.

Orthopaedic Surgery (Sports Medicine)
1651 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Physician Assistant
1651 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Orthopaedic Surgery
1651 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Nurse Practitioner
1651 W ROSEDALE ST STE 200
FORT WORTH, TX 76104

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 Derec Stanislav's NPI number?

The NPI number for Derec Stanislav is 1295220689. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Derec Stanislav located?

Derec Stanislav practices at 1651 W Rosedale St Ste 200, Fort Worth, TX 76104. The listed phone number is (817) 335-4316.

What is Derec Stanislav's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Derec Stanislav enrolled in Medicare?

Yes. Derec Stanislav 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.

What insurance does Derec Stanislav accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Derec Stanislav 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.

Is Derec Stanislav affiliated with any hospitals?

According to CMS data, Derec Stanislav is affiliated with Medical City North Hills and Medical City Las Colinas.

When was this NPI record last updated?

The NPPES record for Derec Stanislav was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.