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DR. DEREK MIKAEL SORENSEN M.D.
NPI 1447416896
Emergency Medicine in Wright Patterson Afb, OH

Active since August 05, 2008PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433(937) 257-0770 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2024, Dec 14, 2020, Apr 10, 2020 and 3 more (6 updates tracked since 2015).

About Dr. Derek Mikael Sorensen M.d. NPPES

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

DR. DEREK MIKAEL SORENSEN M.D. (NPI 1447416896) is an individual emergency medicine provider in Wright Patterson Afb, Ohio, licensed in Ohio (35.127329) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447416896
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DEREK MIKAEL SORENSENCredential: M.D.
Location Address4881 SUGAR MAPLE DRWright Patterson Afb, OH 45433-5529
Mailing Address88 Mdg, 4881 Sugar Maple DrWright-patterson Afb, OH 45433-5529 · (937) 257-0770
Phone(937) 257-0770
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2006
Enumeration DateAugust 5, 2008
Last NPPES UpdateApril 21, 20256 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1447416896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in OH · 35.127329✔ Licensed in MI · 4301093367
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 ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35.127329 (OH)
4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433
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Secondary Practice Locations 2

Location 13535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-8166
Location 23535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and more.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 Mikael Sorensen M.d. 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 ID4981742392
PECOS Enrollment IDI20151223000763
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

4

Medicare enrollment records show Derek Sorensen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Specialists, Inc
2.7 mi
Emergency Medicine
3535 PENTAGON BOULEVARD
Beavercreek, OH 45431
  • Reassigned Medicare billing, Ohio enrollment
  • 151 clinicians in this Medicare group
NPI 1750650776 (937) 436-4658
Miami Valley Emergency Specialists, LLC
8.0 mi
Emergency Medicine
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 177 clinicians in this Medicare group
NPI 1821189085 (513) 281-4400
Phs Emergency Billing LLC
8.7 mi
Emergency Medicine
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 143 clinicians in this Medicare group
NPI 1578387486 (937) 208-3356
Kettering Independent Medical Group Inc
16 mi
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
NPI 1629387865 (937) 762-1629

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 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45433 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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.

MR. JAMES REBELLO III
Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Greene County (937) 257-9014
CARLA HUELSKAMP PHARMD
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9696
JOHN ALAN ARTHUR
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-4482
ALEXIS D OWEN
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-1574
GREGORY JAMES MORSE M.D.
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9679
KENDRA M. SCHMUCK RD LD
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-8815
MATTHEW PHILIP SCULLY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (616) 717-0169
KAREN LEWIS RTT
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-4159

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 Sorensen's NPI number?

The NPI number for Derek Sorensen is 1447416896. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Derek Sorensen located?

Derek Sorensen practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 257-0770.

What is Derek Sorensen's specialty?

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

Is Derek Sorensen enrolled in Medicare?

Yes. Derek Sorensen 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 Sorensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Sorensen reassigns Medicare benefits to 4 organizations: Emergency Medicine Specialists, Inc (Beavercreek, OH), Miami Valley Emergency Specialists, LLC (Dayton, OH), Phs Emergency Billing LLC (Dayton, OH) and Kettering Independent Medical Group Inc (Miamisburg, OH). 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 Sorensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Sorensen accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and Oscar Health Insurance list Derek Sorensen 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 Sorensen affiliated with any hospitals?

According to CMS data, Derek Sorensen is affiliated with Miami Valley Hospital and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Sorensen was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.