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DR. TODD MICHAEL DERREBERRY M.D.
NPI 1295962066
Psychiatry & Neurology - Psychiatry in Clemmons, NC

Active since June 18, 2009
2554 LEWISVILLE CLEMMONS RD STE 207, CLEMMONS, NC 27012(336) 223-8220(339) 207-0143 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2020, Nov 3, 2016 (2 updates tracked since 2016).

About Dr. Todd Michael Derreberry M.d. NPPES

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

DR. TODD MICHAEL DERREBERRY M.D. (NPI 1295962066) is an individual psychiatry provider in Clemmons, North Carolina, licensed in North Carolina (2015-00894) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1295962066
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. TODD MICHAEL DERREBERRYCredential: M.D.
Location Address2554 LEWISVILLE CLEMMONS RD STE 207Clemmons, NC 27012-9752
Mailing Address2554 Lewisville Clemmons Rd Ste 207Clemmons, NC 27012-9752 · (336) 223-8220 · Fax (339) 207-0143
Phone(336) 223-8220
Fax(339) 207-0143
Sole ProprietorNo
Enumeration DateJune 18, 2009
Last NPPES UpdateJune 10, 20202 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
✔ NPI 1295962066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in NC · 2015-00894✔ Licensed in WV · 25736
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 25736 (WV)
2554 LEWISVILLE CLEMMONS RD STE 207, Clemmons, NC 27012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
95%61 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
82%76 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
78%131 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
68%40 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
2%48 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

ENVISION BEHAVIORAL HEALTH PLLC
Psychiatry & Neurology (Psychiatry)
2554 LEWISVILLE CLEMMONS RD STE 207
CLEMMONS, NC 27012
Forsyth County (304) 617-4337

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 Todd Derreberry's NPI number?

The NPI number for Todd Derreberry is 1295962066. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Todd Derreberry located?

Todd Derreberry practices at 2554 Lewisville Clemmons Rd Ste 207, Clemmons, NC 27012. The listed phone number is (336) 223-8220.

What is Todd Derreberry's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

What insurance does Todd Derreberry accept?

Health plans from Blue Cross and Blue Shield of NC list Todd Derreberry 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 Todd Derreberry was last updated on June 10, 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.