DEREK PAUL AXIBAL M.D.
NPI 1598183196
Orthopaedic Surgery in Hastings, MI

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
840 COOK RD, HASTINGS, MI 49058(269) 945-9520 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2021, Sep 30, 2020, Aug 1, 2019 (3 updates tracked since 2019).

About Derek Paul Axibal M.d. NPPES

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

DEREK PAUL AXIBAL M.D. (NPI 1598183196) is an individual orthopaedic surgery provider in Hastings, Michigan, licensed in Michigan (4301501710) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1598183196
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDEREK PAUL AXIBALCredential: M.D.
Location Address840 COOK RDHastings, MI 49058-9616
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 1, 2014
Last NPPES UpdateMarch 10, 20213 updates tracked since enumeration
NPPES CertifiedMarch 10, 2021
NPI 1598183196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in MI · 4301501710 Licensed in NC · 2019-00572
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 4301501710 (MI)
840 COOK RD, Hastings, MI 49058

Other Identifiers 1

Other0397730007NC · Nsc#

Accepted 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 Paul Axibal M.d. 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 ID4880916493
PECOS Enrollment IDI20200807002067
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 2

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.
31 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49058 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Physician Assistant
840 COOK RD
HASTINGS, MI 49058
Neurological Surgery
840 COOK RD
HASTINGS, MI 49058
Orthopaedic Surgery
840 COOK RD
HASTINGS, MI 49058
Physical Medicine & Rehabilitation
840 COOK RD
HASTINGS, MI 49058
Physical Therapist
840 COOK RD
HASTINGS, MI 49058
Occupational Therapist
840 COOK RD
HASTINGS, MI 49058
Orthopaedic Surgery
840 COOK RD
HASTINGS, MI 49058
Orthopaedic Surgery
840 COOK RD
HASTINGS, MI 49058

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 Axibal's NPI number?

The NPI number for Derek Axibal is 1598183196. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Derek Axibal located?

Derek Axibal practices at 840 Cook Rd, Hastings, MI 49058. The listed phone number is (269) 945-9520.

What is Derek Axibal's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Derek Axibal enrolled in Medicare?

Yes. Derek Axibal 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 Axibal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Derek Axibal 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 Derek Axibal affiliated with any hospitals?

According to CMS data, Derek Axibal is affiliated with Spectrum Health and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for Derek Axibal was last updated on March 10, 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.