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DEREK E KUES PA-C
NPI 1548718695
Physician Assistant in Columbus, OH

Active since September 19, 2016PECOS EnrolledAccepts Medicare Assignment
90.65/100
CMS Quality Rating
1830 BETHEL RD, SUITE C, COLUMBUS, OH 43220(614) 754-8781(614) 754-8924 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2021, Sep 19, 2016 (2 updates tracked since 2016).

About Derek E Kues Pa-c NPPES

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

DEREK E KUES PA-C (NPI 1548718695) is an individual physician assistant in Columbus, Ohio, licensed in Ohio (50.004788RX) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1548718695
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDEREK E KUESCredential: PA-C
Location Address1830 BETHEL RD, SUITE CColumbus, OH 43220-1809
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9016 · Fax (920) 684-1439
Phone(614) 754-8781
Fax(614) 754-8924
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 19, 2016
Last NPPES UpdateFebruary 22, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
✔ NPI 1548718695 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 OH · 50.004788RX
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.
1830 BETHEL RD, Columbus, OH 43220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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 E Kues Pa-c 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 ID6406134634
PECOS Enrollment IDI20161024000612
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 9

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
247 services50 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.
157 services130 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
111 services111 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
102 services88 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
92 services70 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
39 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43220 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

90.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability89
Improvement Activities40

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
46%130 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,737 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%2,703 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%940 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%1,750 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
1%232 patients1/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
0%837 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 485 patients
Patients tobacco: 100% · 485 patients
97%31 patients4/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
34%485 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%1,750 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,750 patients1/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
99%167 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

MATTHEW JOSEPH MORRISON MD
Pediatrics (Adolescent Medicine)
1830 BETHEL RD, SUITE C
COLUMBUS, OH 43220
Franklin County (614) 326-1600
DR. MARLIN F. TROIANO D.D.S.,PHD
Dentist (Oral and Maxillofacial Surgery)
1830 BETHEL RD
COLUMBUS, OH 43220
Franklin County (614) 457-1224
ANNA CHRISTINE GRAY MD
Pediatrics (Adolescent Medicine)
1830 BETHEL RD, SUITE C
COLUMBUS, OH 43220
Franklin County (614) 326-1600
ELITE DERMATOLOGY OF COLUMBUS
Dermatology
1830 BETHEL RD
COLUMBUS, OH 43220
Franklin County (614) 781-1993
DR. TIMOTHY S TROIANO D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1830 BETHEL RD, SUITE A
COLUMBUS, OH 43220
Franklin County (614) 457-1224
JENNIFER JEFFERIS MASTRUSERIO MD
Pediatrics (Adolescent Medicine)
1830 BETHEL RD, SUITE C
COLUMBUS, OH 43220
Franklin County (614) 326-1600
ABNER H BAGENSTOSE MD INC
Allergy & Immunology (Allergy)
1830 BETHEL RD, SUITE D
COLUMBUS, OH 43220
Franklin County (614) 459-4949
FOREFRONT DERMATOLOGY, S.C.
Dermatology
1830 BETHEL RD, SUITE C
COLUMBUS, OH 43220
Franklin County (614) 754-8781

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 Kues's NPI number?

The NPI number for Derek Kues is 1548718695. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Derek Kues located?

Derek Kues practices at 1830 Bethel Rd Suite C, Columbus, OH 43220. The listed phone number is (614) 754-8781.

What is Derek Kues's specialty?

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

Is Derek Kues enrolled in Medicare?

Yes. Derek Kues 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 Kues accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Oscar Health Insurance list Derek Kues 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 Kues was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.