DEREK MASON WEDEL
NPI 1619505872
Family Medicine in Salina, KS

Q: What is Derek Wedel's NPI number?

The NPI number for Derek Wedel is 1619505872. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Derek Wedel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Wedel was last updated on June 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment

77.53/100

CMS Quality Rating

520 S SANTA FE AVE STE 300, SALINA, KS 67401(785) 823-7470 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2023, Mar 31, 2020 (2 updates tracked since 2020).

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About Derek Mason Wedel NPPES

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

DEREK MASON WEDEL (NPI 1619505872) is an individual family medicine provider in Salina, Kansas, licensed in Kansas (04-47699) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Salina Regional Health Center, and maintains a secondary practice location in Scottsdale.

NPPES Registry Identity

NPI1619505872

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDEREK MASON WEDEL

Location Address520 S SANTA FE AVE STE 300Salina, KS 67401-4190

Mailing Address3429 N Miller RdScottsdale, AZ 85251-4513 · (913) 220-1727

Phone(785) 823-7470

Sole ProprietorYes

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2020

Enumeration DateMarch 31, 2020

Last NPPES UpdateJune 19, 20232 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1619505872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KS · 04-47699

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

520 S SANTA FE AVE STE 300, Salina, KS 67401

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Secondary Practice Location 1

Location 17301 E 2nd St Ste 210Scottsdale, AZ 85251-5620 · Phone (480) 882-4545 · Fax (480) 946-6997

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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 Mason Wedel 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 ID5496172132

PECOS Enrollment IDI20230818000619

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 12

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.

413 services241 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

169 services117 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

95 services74 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.

70 services59 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

48 services46 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

32 services29 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

23 services18 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

17 services17 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

16 services15 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.

12 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

12 services12 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

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.

Salina Regional Health Center

Acute Care Hospitals · Salina, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170012

Location400 South Santa Fe AvenueSalina, KS 67401 · Saline County

Emergency services Birthing friendly

Memorial Hospital

Critical Access Hospitals · Abilene, KS

OwnershipGovernment - Hospital District or Authority

CMS Certification Number171381

Location511 NE 10th StAbilene, KS 67410 · Dickinson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67401 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

77.53/100

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

Scored as part of a group practice

Quality

72.73

Promoting Interoperability

100

Improvement Activities

Cost

52.39

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Other Providers at the Same Location NPPES

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

ASHLEY RENAE MATHER APRN

Nurse Practitioner (Family)

520 S SANTA FE AVE STE 300
SALINA, KS 67401

Saline County (785) 823-7470

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 Wedel's NPI number?

The NPI number for Derek Wedel is 1619505872. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Derek Wedel located?

Derek Wedel practices at 520 S Santa Fe Ave Ste 300, Salina, KS 67401. The listed phone number is (785) 823-7470.

What is Derek Wedel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Derek Wedel enrolled in Medicare?

Yes. Derek Wedel 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 Wedel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Derek Wedel 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 Wedel affiliated with any hospitals?

According to CMS data, Derek Wedel is affiliated with Salina Regional Health Center and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Derek Wedel was last updated on June 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.