DEREK MANSON DZABOFF ARNP FNP-BC
NPI 1407454044
Nurse Practitioner - Family in Manchester, IA

Q: What is Derek Dzaboff's NPI number?

The NPI number for Derek Dzaboff is 1407454044. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Q: What is Derek Dzaboff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Dzaboff was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 15, 2020PECOS EnrolledAccepts Medicare Assignment

709 W MAIN ST, MANCHESTER, IA 52057(563) 927-7777 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Derek Manson Dzaboff Arnp Fnp-bc NPPES

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

DEREK MANSON DZABOFF ARNP FNP-BC (NPI 1407454044) is an individual family provider in Manchester, Iowa, licensed in Iowa (A161092) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407454044

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDEREK MANSON DZABOFFCredential: ARNP FNP-BC

Location Address709 W MAIN STManchester, IA 52057-1526

Mailing Address709 W Main StManchester, IA 52057-1526 · (563) 920-8593

Phone(563) 927-7777

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 15, 2020

Last NPPES UpdateJuly 25, 2025

NPPES CertifiedJuly 25, 2025

✔ NPI 1407454044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IA · A161092

709 W MAIN ST, Manchester, IA 52057

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Derek Manson Dzaboff Arnp Fnp-bc 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 ID7012327430

PECOS Enrollment IDI20201113000198

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.

Regional Medical Center

Critical Access Hospitals · Manchester, IA

OwnershipGovernment - Local

CMS Certification Number161343

Location709 W Main StreetManchester, IA 52057 · Delaware County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52057 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers29 claims51 services$5.03 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers12 claims12 services$109.47 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers19 claims34 services$44.51 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers12 claims12 services$22.91 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers16 claims76 services$3.21 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

1 supplier12 claims12 services$262.03 avg. paid by Medicare

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

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.

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