ANTHONY CHRISTOPHER DERRICO D.O.
NPI 1538516471
Emergency Medicine in Coeur D Alene, ID
About Anthony Christopher Derrico D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTHONY CHRISTOPHER DERRICO D.O. (NPI 1538516471) is an individual emergency medicine provider in Coeur D Alene, Idaho, licensed in Wisconsin (81336-021) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 1
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
Anthony Christopher Derrico 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.
Medicare Billing Reassignments
8Medicare enrollment records show Anthony Derrico reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Troy, ID 83871
- Reassigned Medicare billing, Idaho enrollment
- Also billed through NPI 1619988144 (Idaho)
- 75 clinicians in this Medicare group
Caldwell, ID 83605
- Reassigned Medicare billing, Idaho enrollment
- 26 clinicians in this Medicare group
Boise, ID 83712
- Reassigned Medicare billing, Idaho enrollment
- 1,312 clinicians in this Medicare group
Wild Rose, WI 54984
- Reassigned Medicare billing, Wisconsin enrollment
- 42 clinicians in this Medicare group
Waupaca, WI 54981
- Reassigned Medicare billing, Wisconsin enrollment
- 110 clinicians in this Medicare group
Shawano, WI 54166
- Reassigned Medicare billing, Wisconsin enrollment
- 174 clinicians in this Medicare group
Berlin, WI 54923
- Reassigned Medicare billing, Wisconsin enrollment
- 104 clinicians in this Medicare group
New London, WI 54961
- Reassigned Medicare billing, Wisconsin enrollment
- 106 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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Regional Medical Center
Acute Care Hospitals · Boise, IDSt Luke's Nampa Medical Center
Acute Care Hospitals · Nampa, IDGritman Medical Center
Critical Access Hospitals · Moscow, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
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 Anthony Derrico's NPI number?
The NPI number for Anthony Derrico is 1538516471. It was assigned to this individual provider in the NPPES registry on May 20, 2016.
Where is Anthony Derrico located?
Anthony Derrico practices at 2003 Kootenai Health Way, Coeur D Alene, ID 83814. The listed phone number is (208) 625-5700.
What is Anthony Derrico's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Anthony Derrico enrolled in Medicare?
Yes. Anthony Derrico 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 Anthony Derrico's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Derrico reassigns Medicare benefits to 8 organizations: Gritman Medical Center Inc (Troy, ID), Carepoint Health Emergency Medicine Idaho, PLLC (Caldwell, ID), St Lukes Clinic-Treasure Valley LLC (Boise, ID), Thedacare Medical Center - Wild Rose, Inc (Wild Rose, WI), Thedacare Medical Center - Waupaca, Inc. (Waupaca, WI) 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 Anthony Derrico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Anthony Derrico affiliated with any hospitals?
According to CMS data, Anthony Derrico is affiliated with St Luke's Regional Medical Center, St Luke's Nampa Medical Center and Gritman Medical Center.
When was this NPI record last updated?
The NPPES record for Anthony Derrico was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Anthony Christopher Derrico, D.O. · NPI 1538516471
Emergency Medicine physician in Coeur D Alene, Idaho. Individual provider, active in the CMS NPPES registry since May 20, 2016.
## Identity
- **NPI:** 1538516471 (Entity type: Individual)
- **Enumerated:** May 20, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 81336-021 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814-6051
- **Phone:** (208) 625-5700 · **Fax:** (208) 625-5708
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Gritman Medical Center Inc (NPI 1942567847, Troy, ID); Carepoint Health Emergency Medicine Idaho, PLLC (NPI 1285275461, Caldwell, ID); St Lukes Clinic-Treasure Valley LLC (NPI 1326336058, Boise, ID); Thedacare Medical Center - Wild Rose, Inc (NPI 1043263999, Wild Rose, WI); Thedacare Medical Center - Waupaca, Inc. (NPI 1780782680, Waupaca, WI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2016
## Record status
- **NPPES last updated:** April 24, 2024
- **Other identifiers:** Medicaid 100254122 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1538516471) · Data from the CMS NPPES public registry.