MATTHEW A DERBY DO
NPI 1467815142
Internal Medicine in Columbus, OH

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment
82.53/100
CMS Quality Rating
3555 OLENTANGY RIVER RD STE 1080, COLUMBUS, OH 43214(614) 268-8164(614) 268-8406 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 16, 2020, Jan 30, 2020, Mar 31, 2016 (3 updates tracked since 2016).

About Matthew A Derby Do NPPES

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

MATTHEW A DERBY DO (NPI 1467815142) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (34.013754) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1467815142
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMATTHEW A DERBYCredential: DO
Location Address3555 OLENTANGY RIVER RD STE 1080Columbus, OH 43214-3984
Mailing Address3555 Olentangy River Rd Ste 1080Columbus, OH 43214-3984 · (614) 268-8164 · Fax (614) 268-8406
Fax(614) 268-8406
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 31, 2016
Last NPPES UpdateSeptember 16, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
NPI 1467815142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 34.013754
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3555 OLENTANGY RIVER RD STE 1080, Columbus, OH 43214

Other Identifiers 1

Medicaid0364640OH

Accepted 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

Matthew A Derby 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 ID7810266863
PECOS Enrollment IDI20190912003479
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 2024 & 2026 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.
158 services80 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
158 services104 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
74 services72 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
70 services68 patients

Hospital Affiliations CMS Care Compare 3

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Mount Carmel New Albany Surgical Hospital

Acute Care Hospitals · New Albany, OH
OwnershipProprietary
CMS Certification Number360266
Location7333 Smith's Mill RoadNew Albany, OH 43054 · Franklin County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

82.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$58.39 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.

Hospitalist
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214
Hospitalist
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214
Nurse Practitioner (Family)
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214
Nurse Practitioner (Gerontology)
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214
Internal Medicine
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214
Hospitalist
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214
Internal Medicine
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214
Internal Medicine
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467815142, enumerated as an "individual" on March 31, 2016.

The provider is located at 3555 OLENTANGY RIVER RD STE 1080 COLUMBUS, OH 43214 and the phone number is (614) 268-8164.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: CareSource, Oscar Health Insurance, Medicare and. Please consult your insurance carrier or call the provider to verify.

Matthew Derby is affiliated with: MOUNT CARMEL ST ANN'S, MOUNT CARMEL EAST & WEST and MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL.