1. Home
  2. Directory
  3. Tennessee
  4. Nashville
  5. Otolaryngology
  6. NPI Profile

DR. DEREK HANSEN SPATH MD
NPI 1366066565
Otolaryngology in Nashville, TN

Active since June 03, 2020PECOS EnrolledAccepts Medicare Assignment
719 THOMPSON LN STE 30400, NASHVILLE, TN 37204(585) 261-5219 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2025, Jun 9, 2025, Jun 3, 2020 (3 updates tracked since 2020).

About Dr. Derek Hansen Spath Md NPPES

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

DR. DEREK HANSEN SPATH MD (NPI 1366066565) is an individual otolaryngology provider in Nashville, Tennessee, licensed in Tennessee (74281) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366066565
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. DEREK HANSEN SPATHCredential: MD
Location Address719 THOMPSON LN STE 30400Nashville, TN 37204-4723
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Phone(585) 261-5219
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 3, 2020
Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1366066565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in TN · 74281✔ Licensed in TX · BP10072219
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
719 THOMPSON LN STE 30400, Nashville, TN 37204
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13601 The Vanderbilt Clinic, Ste 200Nashville, TN 37232-0001 · Phone (615) 322-5000
Location 2301 University BlvdGalveston, TX 77555-5302 · Phone (409) 772-1011

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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 and accepts Medicare assignment

Dr. Derek Hansen Spath Md 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 ID9133541584
PECOS Enrollment IDI20251020001984
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

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37204 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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

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

MADONA KOZMAN APRN/ FNP-BC
Nurse Practitioner (Family)
719 THOMPSON LN STE 30400
NASHVILLE, TN 37204
Davidson County (615) 322-6180

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 Derek Spath's NPI number?

The NPI number for Derek Spath is 1366066565. It was assigned to this individual provider in the NPPES registry on June 3, 2020.

Where is Derek Spath located?

Derek Spath practices at 719 Thompson Ln Ste 30400, Nashville, TN 37204. The listed phone number is (585) 261-5219.

What is Derek Spath's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Derek Spath enrolled in Medicare?

Yes. Derek Spath 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 Derek Spath accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Derek Spath 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 Derek Spath affiliated with any hospitals?

According to CMS data, Derek Spath is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Spath was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.