CAROL DERWACTER C.N.P.
NPI 1619953924
Nurse Practitioner - Adult Health in Zanesville, OH

Active since December 19, 2005PECOS Enrolled
2945 MAPLE AVE, ZANESVILLE, OH 43701(740) 454-0196(740) 454-7834 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol Derwacter C.n.p. NPPES

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

CAROL DERWACTER C.N.P. (NPI 1619953924) is an individual adult health provider in Zanesville, Ohio, licensed in Ohio (NP04044) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619953924
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCAROL DERWACTERCredential: C.N.P.
Location Address2945 MAPLE AVEZanesville, OH 43701-1753
Mailing Address860 Bethesda DrZanesville, OH 43701-1800 · (740) 454-4651 · Fax (740) 454-4653
Fax(740) 454-7834
Sole ProprietorNo
Enumeration DateDecember 19, 2005
Last NPPES UpdateAugust 19, 2008
NPI 1619953924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in OH · NP04044
2945 MAPLE AVE, Zanesville, OH 43701

Other Identifiers 9

Other080146341OH · Medicare Railroad
Medicare PINDENP03501
Medicaid2043354OH
Medicare PIN9270903
OtherDENP03501Medicare Ptan
Other0989499OH · Group Medicaid
Other311413469060OH · Caresource Pin
Medicare UPINS84694
OtherCA1586Group Medicare Railroad

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carol Derwacter C.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.
82 services51 patients
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.
79 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.
30 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43701 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
77%140 patients4/55-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
72%238 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
49%272 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
31%197 patients2/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
10 suppliers36 claims72 services$5.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers20 claims20 services$1.02 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 6

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

Anesthesiology
2945 MAPLE AVE
ZANESVILLE, OH 43701
Otolaryngology
2945 MAPLE AVE
ZANESVILLE, OH 43701
Otolaryngology (Sleep Medicine)
2945 MAPLE AVE
ZANESVILLE, OH 43701
Clinic/Center (Hearing and Speech)
2945 MAPLE AVE
ZANESVILLE, OH 43701
Physician Assistant
2945 MAPLE AVE
ZANESVILLE, OH 43701
Physician Assistant
2945 MAPLE AVE
ZANESVILLE, OH 43701

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 Carol Derwacter's NPI number?

The NPI number for Carol Derwacter is 1619953924. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Carol Derwacter located?

Carol Derwacter practices at 2945 Maple Ave, Zanesville, OH 43701. The listed phone number is (740) 454-0196.

What is Carol Derwacter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Carol Derwacter enrolled in Medicare?

Yes. Carol Derwacter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carol Derwacter was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.