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DEREK SUSALLA
NPI 1508392796
Physician Assistant in Rochester Hills, MI

Active since May 07, 2017PECOS EnrolledAccepts Medicare Assignment
441 S LIVERNOIS RD, ROCHESTER HILLS, MI 48307(248) 608-8800 Get Directions Write a Review

NPPES record last updated: May 7, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Derek Susalla NPPES

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

DEREK SUSALLA (NPI 1508392796) is an individual physician assistant in Rochester Hills, Michigan, licensed in Michigan (5601008192) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2017).

NPPES Registry Identity

NPI1508392796
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDEREK SUSALLA
Location Address441 S LIVERNOIS RDRochester Hills, MI 48307-2584
Mailing Address615 Woodglen Cir Apt 206Auburn Hills, MI 48326-4526
Phone(248) 608-8800
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2017
Enumeration DateMay 7, 2017
✔ NPI 1508392796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601008192
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
441 S LIVERNOIS RD, Rochester Hills, MI 48307
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 Susalla 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 ID9537438858
PECOS Enrollment IDI20170629002736
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.

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.
65 services26 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
47 services18 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.
37 services19 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. KATHERINE MARGARET TESSMAR LMSW
Social Worker (Clinical)
441 S LIVERNOIS RD, SUITE 100
ROCHESTER HILLS, MI 48307
Oakland County (248) 608-8800
MS. JUDITH CANVASSER REDMOND LLP, LPC, MA
Psychologist (Clinical)
441 S LIVERNOIS RD
ROCHESTER HILLS, MI 48307
Oakland County (248) 608-8800
DR. PAUL VANRAAPHORST DDS, MS, PC.
Dentist (Periodontics)
441 S LIVERNOIS RD, SUITE 280
ROCHESTER HILLS, MI 48307
Oakland County (248) 656-3200
JOEL L. YOUNG, M.D., P.C.
Clinic/Center (Adult Mental Health)
441 S LIVERNOIS RD
ROCHESTER HILLS, MI 48307
Oakland County (248) 608-8800
DAVID M JULIANI DDS PLLC
Dentist (General Practice)
441 S LIVERNOIS RD, SUITE 185
ROCHESTER HILLS, MI 48307
Oakland County (248) 651-2273
NANCY TEDDER LLPC
Counselor (Professional)
441 S LIVERNOIS RD, SUITE 205
ROCHESTER HILLS, MI 48307
Oakland County (248) 608-8800
DR. MARK ALAN KOWAL D.D.S.
Dentist (General Practice)
441 S LIVERNOIS RD, SUITE 275
ROCHESTER HILLS, MI 48307
Oakland County (248) 608-1300
DIANA WOLF ABBOTT D.D.S., M.S., P.C.
Dentist (Orthodontics and Dentofacial Orthopedics)
441 S LIVERNOIS RD, SUITE 250
ROCHESTER HILLS, MI 48307
Oakland County (248) 656-0040

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 Susalla's NPI number?

The NPI number for Derek Susalla is 1508392796. It was assigned to this individual provider in the NPPES registry on May 7, 2017.

Where is Derek Susalla located?

Derek Susalla practices at 441 S Livernois Rd, Rochester Hills, MI 48307. The listed phone number is (248) 608-8800.

What is Derek Susalla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Derek Susalla enrolled in Medicare?

Yes. Derek Susalla 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 Derek Susalla accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Derek Susalla 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.

When was this NPI record last updated?

The NPPES record for Derek Susalla was last updated on May 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.