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DR. MICAH JON DERBY D.O.
NPI 1548605199
Internal Medicine in Tulsa, OK

Active since May 08, 2013PECOS EnrolledAccepts Medicare Assignment
86.85/100
CMS Quality Rating
6600 S YALE AVE STE 650, TULSA, OK 74136(918) 502-7800(918) 502-7815 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 3, 2019, Feb 12, 2019 (2 updates tracked since 2019).

About Dr. Micah Jon Derby D.o. NPPES

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

DR. MICAH JON DERBY D.O. (NPI 1548605199) is an individual internal medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (5550) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital, Inc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1548605199
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICAH JON DERBYCredential: D.O.
Location Address6600 S YALE AVE STE 650Tulsa, OK 74136-3342
Mailing Address6600 S Yale Ave Ste 1200Tulsa, OK 74136-3333
Phone(918) 502-7800
Fax(918) 502-7815
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 8, 2013
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1548605199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 5550
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6600 S YALE AVE STE 650, Tulsa, OK 74136
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Other Identifiers 3

Medicaid200541190AOK
Medicaid200541190BOK
Other442012YMSDOK · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.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. Micah Jon Derby 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 ID9032428032
PECOS Enrollment IDI20151014000194
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 5

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 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.
166 services93 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.
72 services56 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
17 services17 patients
Administration of vaccine 90471
Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370218
Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

86.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.69
Promoting Interoperability99
Improvement Activities40
Cost59.59

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers24 claims45 services$6.11 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims13 services$1.16 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers42 claims42 services$205.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

OSU CENTER FOR HEALTH SCIENCES
Clinic/Center
6600 S YALE AVE STE 650
TULSA, OK 74136
Tulsa County (918) 561-8306
DR. MICHAEL HIEBERT D.O.
Internal Medicine
6600 S YALE AVE STE 650
TULSA, OK 74136
Tulsa County (918) 502-7800
DR. TERESA HARDESTY D.O.
Internal Medicine
6600 S YALE AVE STE 650
TULSA, OK 74136
Tulsa County (918) 502-7800
MRS. ALLISON KAY CONAWAY APRN, CNP
Nurse Practitioner (Family)
6600 S YALE AVE STE 650
TULSA, OK 74136
Tulsa County (918) 884-2884

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 Micah Derby's NPI number?

The NPI number for Micah Derby is 1548605199. It was assigned to this individual provider in the NPPES registry on May 8, 2013.

Where is Micah Derby located?

Micah Derby practices at 6600 S Yale Ave Ste 650, Tulsa, OK 74136. The listed phone number is (918) 502-7800.

What is Micah Derby's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Micah Derby enrolled in Medicare?

Yes. Micah 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 Micah Derby accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Micah 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 Micah Derby affiliated with any hospitals?

According to CMS data, Micah Derby is affiliated with Saint Francis Hospital, Inc and Saint Francis Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Micah Derby was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.