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DR. DARREN E DREYFUS D.O.
NPI 1417958083
Internal Medicine - Nephrology in Erie, PA

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
311 W 24TH ST, SUITE 402, ERIE, PA 16502(814) 453-6687(814) 456-4676 Get Directions Write a Review

NPPES record last updated: November 13, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Darren E Dreyfus D.o. NPPES

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

DR. DARREN E DREYFUS D.O. (NPI 1417958083) is an individual nephrology provider in Erie, Pennsylvania, licensed in Pennsylvania (OS012098) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1996).

NPPES Registry Identity

NPI1417958083
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. DARREN E DREYFUSCredential: D.O.
Location Address311 W 24TH ST, SUITE 402Erie, PA 16502-2665
Mailing Address311 W 24th St, Suite 402Erie, PA 16502-2665 · (814) 453-6687 · Fax (814) 456-4676
Phone(814) 453-6687
Fax(814) 456-4676
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1996
Enumeration DateAugust 9, 2005
Last NPPES UpdateNovember 13, 2009
✔ NPI 1417958083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · OS012098
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
311 W 24TH ST, Erie, PA 16502
Open in Google Maps ↗

Other Identifiers 6

Other1394444PA · Highmark Pa Bs
Other314113PA · Upmc
Other390008355PA · Medicare Palmetto
Medicare UPINH64990PA
Medicare ID-Type Unspecified059275PA
Medicaid0019246140002PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Darren E Dreyfus D.o. 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 ID5395800163
PECOS Enrollment IDI20100916000375
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
629 services90 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
247 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
78 services75 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Millcreek Community Hospital

Acute Care Hospitals · Erie, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390198
Location5515 Peach StreetErie, PA 16509 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16502 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%101 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
19%131 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MUSTAFA AL JUBOORI DO
Student in an Organized Health Care Education/Training Program
311 W 24TH ST
ERIE, PA 16502
Erie County (914) 452-5000
DR. EDWARD C CLARK M.D.
Internal Medicine (Nephrology)
311 W 24TH ST, SUITE 402
ERIE, PA 16502
Erie County (814) 453-6687
PPC ANESTHESIA, INC.
Anesthesiology
311 W 24TH ST, SUITE #303
ERIE, PA 16502
Erie County (814) 454-1530
VINCENT BRICK
Student in an Organized Health Care Education/Training Program
311 W 24TH ST
ERIE, PA 16502
Erie County (814) 452-5100
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INST. INC
Podiatrist (Foot & Ankle Surgery)
311 W 24TH ST, SUITE 303
ERIE, PA 16502
Erie County (814) 835-3751
ZACHARY DOUGLAS ANDERSON
Student in an Organized Health Care Education/Training Program
311 W 24TH ST
ERIE, PA 16502
Erie County (814) 452-5100
SAINT VINCENT WOMEN'S CENTER
General Acute Care Hospital
311 W 24TH ST
ERIE, PA 16502
Erie County (814) 452-5879
DR. GRANT L PERRY MD
Family Medicine
311 W 24TH ST
ERIE, PA 16502
Erie County (512) 923-4456

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 Darren Dreyfus's NPI number?

The NPI number for Darren Dreyfus is 1417958083. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Darren Dreyfus located?

Darren Dreyfus practices at 311 W 24th St Suite 402, Erie, PA 16502. The listed phone number is (814) 453-6687.

What is Darren Dreyfus's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Darren Dreyfus enrolled in Medicare?

Yes. Darren Dreyfus 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 Darren Dreyfus accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Darren Dreyfus 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 Darren Dreyfus affiliated with any hospitals?

According to CMS data, Darren Dreyfus is affiliated with Saint Vincent Hospital, Upmc Hamot and Millcreek Community Hospital.

When was this NPI record last updated?

The NPPES record for Darren Dreyfus was last updated on November 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.