DR. KATHERINE DORNAN DERBY MD, MS
NPI 1538654256
Obstetrics & Gynecology in Chicago, IL

Q: What is Katherine Derby's NPI number?

The NPI number for Katherine Derby is 1538654256. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Q: What is Katherine Derby's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Derby was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 25, 2018PECOS EnrolledAccepts Medicare Assignment

93.08/100

CMS Quality Rating

5140 N CALIFORNIA AVE FL 6, CHICAGO, IL 60625(773) 878-7787 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2022, May 27, 2021, Jun 25, 2018 (3 updates tracked since 2018).

On this page

About Dr. Katherine Dornan Derby Md, Ms NPPES

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

DR. KATHERINE DORNAN DERBY MD, MS (NPI 1538654256) is an individual obstetrics & gynecology provider in Chicago, Illinois, licensed in Illinois (036157085) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of Rush Medical College Of Rush University (2018).

NPPES Registry Identity

NPI1538654256

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. KATHERINE DORNAN DERBYCredential: MD, MS

Location Address5140 N CALIFORNIA AVE FL 6Chicago, IL 60625-3645

Mailing Address5140 N California Ave Fl 6Chicago, IL 60625-3645 · (773) 878-7787

Phone(773) 878-7787

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2018

Enumeration DateJune 25, 2018

Last NPPES UpdateJuly 15, 20223 updates tracked since enumeration

NPPES CertifiedJune 22, 2022

✔ NPI 1538654256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in IL · 036157085✔ Licensed in IL · 125073316

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

5140 N CALIFORNIA AVE FL 6, Chicago, IL 60625

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Dr. Katherine Dornan Derby Md, Ms 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 ID3072860055

PECOS Enrollment IDI20220804003160

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.

Hospital Affiliations CMS Care Compare

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

Swedish Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140114

Location5145 N California AveChicago, IL 60625 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

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.

93.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA ELLEN CARTLEDGE MD

Obstetrics & Gynecology

5140 N CALIFORNIA AVE FL 6
CHICAGO, IL 60625

Cook County (773) 878-7787

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 Katherine Derby's NPI number?

The NPI number for Katherine Derby is 1538654256. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Katherine Derby located?

Katherine Derby practices at 5140 N California Ave Fl 6, Chicago, IL 60625. The listed phone number is (773) 878-7787.

What is Katherine Derby's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Katherine Derby enrolled in Medicare?

Yes. Katherine Derby 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 Katherine Derby accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Katherine Derby 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 Katherine Derby affiliated with any hospitals?

According to CMS data, Katherine Derby is affiliated with Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Derby was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.