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MR. DEREK STEVEN WAKEMAN M.D.
NPI 1649483181
Surgery - Pediatric Surgery in Rochester, NY

Active since May 08, 2007PECOS Enrolled
90.58/100
CMS Quality Rating
601 ELMWOOD AVE, BOX SURG, ROCHESTER, NY 14642(585) 273-1753(585) 276-2370 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Derek Steven Wakeman M.d. NPPES

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

MR. DEREK STEVEN WAKEMAN M.D. (NPI 1649483181) is an individual pediatric surgery provider in Rochester, New York, licensed in New York (283192) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649483181
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameMR. DEREK STEVEN WAKEMANCredential: M.D.
Location Address601 ELMWOOD AVE, BOX SURGRochester, NY 14642-0001
Mailing Address601 Elmwood Ave, Box SurgRochester, NY 14642-0001 · (585) 273-1753 · Fax (585) 276-2370
Phone(585) 273-1753
Fax(585) 276-2370
Sole ProprietorNo
Enumeration DateMay 8, 2007
Last NPPES UpdateJune 29, 2023
✔ NPI 1649483181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in NY · 283192
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License 2006015616 (MO)
601 ELMWOOD AVE, Rochester, NY 14642
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Derek Steven Wakeman M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Derek Wakeman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Rochester Surgical Associates
Same address
Transplant Surgery
601 ELMWOOD AVE, BOX SURG
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 86 clinicians in this Medicare group
NPI 1740205566 (585) 275-1984
Bariatric & Gi Surgery Of The University Of Rochester
1.2 mi
Surgery
1000 SOUTH AVE
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 15 clinicians in this Medicare group
NPI 1497941645 (585) 273-4607

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

90.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost56.5

Other Providers at the Same Location NPPES 20

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

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

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 Wakeman's NPI number?

The NPI number for Derek Wakeman is 1649483181. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Derek Wakeman located?

Derek Wakeman practices at 601 Elmwood Ave Box Surg, Rochester, NY 14642. The listed phone number is (585) 273-1753.

What is Derek Wakeman's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Derek Wakeman enrolled in Medicare?

Yes. Derek Wakeman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Derek Wakeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Wakeman reassigns Medicare benefits to 2 organizations: University Of Rochester Surgical Associates (Rochester, NY) and Bariatric & Gi Surgery Of The University Of Rochester (Rochester, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Wakeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Derek Wakeman was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.