DEREK NEVINS M.D.
NPI 1316189970
Family Medicine in Cheyenne, WY

NPI Status: Active since March 28, 2009

Contact Information

2030 BLUEGRASS CIR
CHEYENNE, WY
ZIP 82009
Phone: (307) 635-3500
Fax: (307) 635-4642

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  • Individual
  • Male
  • Family Medicine
  • PECOS Enrolled

About DEREK NEVINS

This page provides the complete NPI Profile along with additional information for Derek Nevins, a primary care provider established in Cheyenne, Wyoming with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1316189970 assigned on March 2009. The practitioner's primary taxonomy code is 207Q00000X with license number 8795A (WY). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1316189970
Provider Name
DEREK NEVINS M.D.
Gender
Male
Entity Type
Individual
Location Address
2030 BLUEGRASS CIR CHEYENNE, WY 82009
Location Phone
(307) 635-3500
Location Fax
(307) 635-4642
Mailing Address
2030 BLUEGRASS CIR CHEYENNE, WY 82009
Mailing Phone
(307) 635-3500
Mailing Fax
(307) 635-4642
Is Sole Proprietor?
No
Enumeration Date
03-28-2009
Last Update Date
01-30-2014
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A primary care provider (PCP) like Derek Nevins sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
8795A
License State
WY
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Derek Nevins is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

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

    4 DME suppliers used 62 Medicare Claims 65 Services Paid

  • DME-Other DME (DE005N)

    Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) (HCPCS:E0466)

    2 DME suppliers used 29 Medicare Claims 29 Services Paid

  • DME-Oxygen and Supplies (DC002N)

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

    7 DME suppliers used 172 Medicare Claims 176 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    2 DME suppliers used 18 Medicare Claims 18 Services Paid

  • DME-Other DME (DE017N)

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

    3 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:K0738)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE000N)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    3 DME suppliers used 16 Medicare Claims 16 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Automated urinalysis test

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

This service was performed 38 times for 27 patients

Hemoglobin a1c level

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

This service was performed 52 times for 36 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 82009 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.12
  • Minimum New Patient Price $56.42
  • Maximum New Patient Price $170.72
  • Average New Patient Copayment $21.78
  • Minimum New Patient Copayment $14.1
  • Maximum New Patient Copayment $42.68

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.46
  • Minimum Established Patient Price $18.19
  • Maximum Established Patient Price $139.32
  • Average Established Patient Copayment $24.86
  • Minimum Established Patient Copayment $4.54
  • Maximum Established Patient Copayment $34.83

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316189970, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 2 + 8 + 1 + 8 + 9 + 1 + 4 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1316189970.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Physician Assistant
2030 BLUEGRASS CIR
CHEYENNE, WY 82009
Family Medicine
2030 BLUEGRASS CIR
CHEYENNE, WY 82009
Physician Assistant
2030 BLUEGRASS CIR
CHEYENNE, WY 82009
Family Medicine
2030 BLUEGRASS CIR
CHEYENNE, WY 82009
Nurse Practitioner (Family)
2030 BLUEGRASS CIR
CHEYENNE, WY 82009
Nurse Practitioner (Family)
2030 BLUEGRASS CIR
CHEYENNE, WY 82009
Nurse Practitioner (Family)
2030 BLUEGRASS CIR
CHEYENNE, WY 82009
Nurse Practitioner (Family)
2030 BLUEGRASS CIR
CHEYENNE, WY 82009
Clinic/Center (Urgent Care)
2030 BLUEGRASS CIR
CHEYENNE, WY 82009
Physician Assistant
2030 BLUEGRASS CIR
CHEYENNE, WY 82009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316189970, enumerated as an "individual" on March 28, 2009.

The provider is located at 2030 BLUEGRASS CIR CHEYENNE, WY 82009 and the phone number is (307) 635-3500.

Family Medicine with taxonomy code 207Q00000X.