DEREK D. BAUER MD
NPI 1508156324
Psychiatry & Neurology - Neurology in Rochester, NY

Active since April 13, 2011PECOS EnrolledAccepts Medicare Assignment
95.68/100
CMS Quality Rating
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 341-7500 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2025, Nov 22, 2023, Aug 8, 2023 and 1 more (4 updates tracked since 2017).

About Derek D. Bauer Md NPPES

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

DEREK D. BAUER MD (NPI 1508156324) is an individual neurology provider in Rochester, New York, licensed in New York (325943) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2011).

NPPES Registry Identity

NPI1508156324
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDEREK D. BAUERCredential: MD
Location Address601 ELMWOOD AVERochester, NY 14642-0816
Mailing Address601 Elmwood Ave Box 278984Rochester, NY 14642-0001 · (585) 341-7500
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2011
Enumeration DateApril 13, 2011
Last NPPES UpdateMarch 7, 20254 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1508156324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 325943
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X · License 325943 (NY)
601 ELMWOOD AVE, Rochester, NY 14642

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

Derek D. Bauer Md 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 ID7113163056
PECOS Enrollment IDI20231005002603
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

8

Medicare enrollment records show Derek Bauer reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
601 ELMWOOD AVE, BOX 278984
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 211 clinicians in this Medicare group
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
General Acute Care Hospital
350 PARRISH ST
Canandaigua, NY 14424
  • Reassigned Medicare billing, New York enrollment
  • 347 clinicians in this Medicare group
Rural
7329 SENECA ROAD NORTH
Hornell, NY 14843
  • Reassigned Medicare billing, New York enrollment
  • 436 clinicians in this Medicare group
Critical Access
77 W BARNEY ST
Gouverneur, NY 13642
  • Reassigned Medicare billing, New York enrollment
  • 143 clinicians in this Medicare group
Multi-Specialty
1 ATWELL RD
Cooperstown, NY 13326
  • Reassigned Medicare billing, New York enrollment
  • 1,052 clinicians in this Medicare group
General Acute Care Hospital
50 LEROY STREET
Potsdam, NY 13676
  • Reassigned Medicare billing, New York enrollment
  • 414 clinicians in this Medicare group
Critical Access
1 HOSPITAL DR
Massena, NY 13662
  • Reassigned Medicare billing, New York enrollment
  • 176 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.

Areas of Expertise CMS Part B claims 3

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.

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720
This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
36 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 patients

Hospital Affiliations CMS Care Compare 3

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.97
Promoting Interoperability100
Improvement Activities40
Cost68.32

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.

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

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 Bauer's NPI number?

The NPI number for Derek Bauer is 1508156324. It was assigned to this individual provider in the NPPES registry on April 13, 2011.

Where is Derek Bauer located?

Derek Bauer practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 341-7500.

What is Derek Bauer's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Derek Bauer enrolled in Medicare?

Yes. Derek Bauer 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 Bauer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Bauer reassigns Medicare benefits to 8 organizations: U Of R Neurology Department (Rochester, NY), University Of Rochester (Rochester, NY), The Frederick Ferris Thompson Hospital (Canandaigua, NY), St James Hospital (Hornell, NY), Gouverneur Hospital (Gouverneur, NY) and 3 more organizations, listed in the Medicare section above. 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 Bauer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Derek Bauer affiliated with any hospitals?

According to CMS data, Derek Bauer is affiliated with F F Thompson Hospital, Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Derek Bauer was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.