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ANTHONY CHRISTOPHER DERRICO D.O.
NPI 1538516471
Emergency Medicine in Coeur D Alene, ID

Active since May 20, 2016PECOS EnrolledAccepts Medicare Assignment
94.91/100
CMS Quality Rating
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814(208) 625-5700(208) 625-5708 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 24, 2024, Apr 12, 2024, Feb 7, 2024 and 4 more (7 updates tracked since 2016).

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

NPI1538516471
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANTHONY CHRISTOPHER DERRICOCredential: D.O.
Location Address2003 KOOTENAI HEALTH WAYCoeur D Alene, ID 83814-6051
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-5700 · Fax (208) 625-5708
Phone(208) 625-5700
Fax(208) 625-5708
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016
Enumeration DateMay 20, 2016
Last NPPES UpdateApril 24, 20247 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1538516471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 81336-021
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 ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License TL-4136 (ID), O-1453 (ID)
2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814
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Secondary Practice Locations 3

Location 1190 E Bannock StBoise, ID 83712-6241 · Phone (208) 381-2235
Location 2366 Gunfighter Ave Ste 498Mountain Home AFB, ID 83648-5258 · Phone (419) 251-3232
Location 3855 N Westhaven DrOshkosh, WI 54904-7668 · Phone (920) 303-8700

Other Identifiers 1

Medicaid100254122WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Providence Health Plan.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

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.

PECOS PAC ID6901298264
PECOS Enrollment IDI20220118001021
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
190 services188 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
116 services114 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
96 services83 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
42 services41 patients

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, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Gritman Medical Center

Critical Access Hospitals · Moscow, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131327
Location700 South Main StreetMoscow, ID 83843 · Latah County
Emergency services

Physician 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.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

94.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.83
Promoting Interoperability100
Improvement Activities40

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.

CHRISTINA CRABTREE M.D.
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
SCOTT GEYER RD
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
DR. MATTHEW KUNZ DO
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
MRS. AMANDA K KAMPF RN, BSN
Student in an Organized Health Care Education/Training Program
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
DR. PATRICK WILLIAM MAGAJNA MD
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
JOSHUA LEPPERT CRNA
Nurse Anesthetist, Certified Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 765-8585
MARC OLAV GRANRUD
Hospitalist
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6900
KIMBERLEY S HALL DIETICIAN
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 666-2000

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.

What insurance does Anthony Derrico accept?

Health plans from CareSource (Common Ground Healthcare) and Providence Health Plan list Anthony Derrico 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 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.