DERRICK L. HASENOUR MD
NPI 1295997450
Family Medicine in Franklin, IN

Q: What is Derrick Hasenour's NPI number?

The NPI number for Derrick Hasenour is 1295997450. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Q: What is Derrick Hasenour'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 Hasenour was last updated on October 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 30, 2008PECOS Enrolled

55 N MILFORD DR, FRANKLIN, IN 46131(317) 739-4848(317) 346-4062 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 14, 2019, Jun 22, 2018 (2 updates tracked since 2018).

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About Derrick L. Hasenour Md NPPES

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

DERRICK L. HASENOUR MD (NPI 1295997450) is an individual family medicine provider in Franklin, Indiana, licensed in Indiana (01071061A) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1295997450

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDERRICK L. HASENOURCredential: MD

Location Address55 N MILFORD DRFranklin, IN 46131-7308

Mailing Address14 Trafalgar SqTrafalgar, IN 46181-9515 · (317) 412-9190 · Fax (317) 878-2302

Phone(317) 739-4848

Fax(317) 346-4062

Sole ProprietorNo

Enumeration DateJune 30, 2008

Last NPPES UpdateOctober 14, 20192 updates tracked since enumeration

✔ NPI 1295997450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IN · 01071061A✔ Licensed in IN · 11015132A

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.

55 N MILFORD DR, Franklin, IN 46131

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Secondary Practice Location 1

Location 11520 N Senate AveIndianapolis, IN 46202 · Phone (317) 962-8893 · Fax (317) 962-1048

Other Identifiers 1

Medicaid201067650IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derrick L. Hasenour Md 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 46131 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers12 claims1,670 services$1.37 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers14 claims14 services$12.04 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$54.96 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$168.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 11

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

DR. ALEJANDRO ENRIQUE BOLIVAR MD

Family Medicine