DERRICK SCHUTRUM
NPI 1295350940
Family Medicine in Depew, NY

Q: What is Derrick Schutrum's NPI number?

The NPI number for Derrick Schutrum is 1295350940. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Q: What is Derrick Schutrum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Derrick Schutrum was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 09, 2020PECOS EnrolledAccepts Medicare Assignment

4893 TRANSIT RD, DEPEW, NY 14043(716) 608-7040 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Derrick Schutrum NPPES

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

DERRICK SCHUTRUM (NPI 1295350940) is an individual family medicine provider in Depew, New York, licensed in New York (024885) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1295350940

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDERRICK SCHUTRUM

Location Address4893 TRANSIT RDDepew, NY 14043-4698

Mailing Address1961 Bush RdGrand Island, NY 14072-2915 · (716) 936-4334

Phone(716) 608-7040

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 9, 2020

NPPES CertifiedJune 9, 2020

✔ NPI 1295350940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 024885

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPhysician AssistantTaxonomy 363A00000X

4893 TRANSIT RD, Depew, NY 14043

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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

Derrick Schutrum 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 ID8729402227

PECOS Enrollment IDI20200716002256

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 5

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.

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.

70 services65 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

30 services30 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services18 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

15 services15 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330005

Location100 High StreetBuffalo, NY 14210 · Erie County

Emergency services Birthing friendly

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330078

Location2157 Main StreetBuffalo, NY 14214 · Erie County

Emergency services Birthing friendly

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330279

Location565 Abbott RoadBuffalo, NY 14220 · Erie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14043 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 16

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

ASHLEY ANNE MCGREGOR DNP

Nurse Practitioner (Family)