DR. DEREK PECKHAM DO
NPI 1386374163
Emergency Medicine in Hays, KS

Active since June 14, 2022PECOS EnrolledAccepts Medicare Assignment
2220 CANTERBURY DR, HAYS, KS 67601(785) 623-5555 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Derek Peckham Do NPPES

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

DR. DEREK PECKHAM DO (NPI 1386374163) is an individual emergency medicine provider in Hays, Kansas, licensed in Kansas (0551633) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Hays Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1386374163
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DEREK PECKHAMCredential: DO
Location Address2220 CANTERBURY DRHays, KS 67601-2370
Mailing Address2220 Canterbury DrHays, KS 67601-2370 · (785) 623-5555
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 14, 2022
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1386374163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in KS · 0551633
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0551633 (KS)
2220 CANTERBURY DR, Hays, KS 67601

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Derek Peckham Do 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 ID5294118105
PECOS Enrollment IDI20250908003350
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Derek Peckham reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anatomic Pathology & Clinical Pathology
2220 CANTERBURY DR
Hays, KS 67601
  • Reassigned Medicare billing, Kansas enrollment
  • 218 clinicians in this Medicare group
Medicare Defined Swing Bed Unit
2200 H ST, BOX 277
Fairbury, NE 68352
Nurse Anesthetist, Certified Registered
145 MEMORIAL DR
Broken Bow, NE 68822
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1538232244 (Nebraska)
  • 31 clinicians in this Medicare group
Critical Access
300 N 2ND ST
O'neill, NE 68763
  • Reassigned Medicare billing, Nebraska enrollment
  • 86 clinicians in this Medicare group
Primary Care
1200 PROVIDENCE RD
Wayne, NE 68787
  • Reassigned Medicare billing, Nebraska enrollment
  • 55 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Hays Medical Center

Acute Care Hospitals · Hays, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170013
Location2220 Canterbury DriveHays, KS 67601 · Ellis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67601 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 20

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

Emergency Medicine
2220 CANTERBURY DR
HAYS, KS 67601
Internal Medicine (Interventional Cardiology)
2220 CANTERBURY DR
HAYS, KS 67601
Clinical Medical Laboratory
2220 CANTERBURY DR
HAYS, KS 67601
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2220 CANTERBURY DR
HAYS, KS 67601
Nurse Practitioner (Family)
2220 CANTERBURY DR
HAYS, KS 67601
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2220 CANTERBURY DR
HAYS, KS 67601
Hospitalist
2220 CANTERBURY DR
HAYS, KS 67601
Pathology (Anatomic Pathology & Clinical Pathology)
2220 CANTERBURY DR
HAYS, KS 67601

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 Peckham's NPI number?

The NPI number for Derek Peckham is 1386374163. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Derek Peckham located?

Derek Peckham practices at 2220 Canterbury Dr, Hays, KS 67601. The listed phone number is (785) 623-5555.

What is Derek Peckham's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Derek Peckham enrolled in Medicare?

Yes. Derek Peckham 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.

Which organizations bill Medicare for Derek Peckham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Peckham reassigns Medicare benefits to 5 organizations: Hays Medical Center, Inc (Hays, KS), Jefferson Community Health Center, Inc. (Fairbury, NE), Jennie M Melham Memorial Medical Center Inc (Broken Bow, NE), Avera St Anthonys Hospital (O'neill, NE) and Providence Medical Center (Wayne, NE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Peckham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Peckham accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Derek Peckham 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 Peckham affiliated with any hospitals?

According to CMS data, Derek Peckham is affiliated with Hays Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Peckham was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.