DR. THERESA M DERICKSON MD
NPI 1639260169
Pediatrics in West Chester, OH

Q: What is Theresa Derickson's NPI number?

The NPI number for Theresa Derickson is 1639260169. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Theresa Derickson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Derickson was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 28, 2006PECOS Enrolled

8040 PRINCETON-GLENDALE RD., WEST CHESTER, OH 45069(513) 872-2000(513) 281-8842 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Theresa M Derickson Md NPPES

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

DR. THERESA M DERICKSON MD (NPI 1639260169) is an individual pediatrics provider in West Chester, Ohio, licensed in Ohio (35088598) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639260169

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. THERESA M DERICKSONCredential: MD

Location Address8040 PRINCETON-GLENDALE RD.West Chester, OH 45069-0000

Mailing Address4685 Forest Ave Ste CCincinnati, OH 45212-3359 · (513) 246-7796 · Fax (513) 852-8525

Phone(513) 872-2000

Fax(513) 281-8842

Sole ProprietorNo

Enumeration DateSeptember 28, 2006

Last NPPES UpdateOctober 2, 2014

✔ NPI 1639260169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OH · 35088598

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

8040 PRINCETON-GLENDALE RD., West Chester, OH 45069

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Other Identifiers 1

Medicaid2704836OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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 (PECOS)

Dr. Theresa M Derickson Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45069 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.

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 Theresa Derickson's NPI number?

The NPI number for Theresa Derickson is 1639260169. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Theresa Derickson located?

Theresa Derickson practices at 8040 Princeton-Glendale Rd., West Chester, OH 45069. The listed phone number is (513) 872-2000.

What is Theresa Derickson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Theresa Derickson enrolled in Medicare?

Yes. Theresa Derickson is registered in the Medicare PECOS enrollment system.

What insurance does Theresa Derickson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Theresa Derickson 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 Theresa Derickson was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.