DR. DEREK DION COOLEY MD
NPI 1669526406
Hospitalist in Dublin, OH
About Dr. Derek Dion Cooley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEREK DION COOLEY MD (NPI 1669526406) is an individual hospitalist provider in Dublin, Ohio, licensed in Ohio (35.096351) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and maintains a secondary practice location in Montgomery.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Derek Dion Cooley Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Derek Cooley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, OH 43214
- Reassigned Medicare billing, Ohio enrollment
- 3,314 clinicians in this Medicare group
Cincinnati, OH 45242
- Reassigned Medicare billing, Ohio enrollment
- 1,102 clinicians in this Medicare group
Cincinnati, OH 45220
- Reassigned Medicare billing, Ohio enrollment
- 1,126 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grant Medical Center
Acute Care Hospitals · Columbus, OHDoctors Hospital
Acute Care Hospitals · Columbus, OHGrady Memorial Hospital
Acute Care Hospitals · Delaware, OHDublin Methodist Hospital
Acute Care Hospitals · Dublin, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DUBLIN, OH 43016
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 Cooley's NPI number?
The NPI number for Derek Cooley is 1669526406. It was assigned to this individual provider in the NPPES registry on January 22, 2007.
Where is Derek Cooley located?
Derek Cooley practices at 7450 Hospital Dr Ste 290, Dublin, OH 43016. The listed phone number is (614) 566-8883.
What is Derek Cooley's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Derek Cooley enrolled in Medicare?
Yes. Derek Cooley 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.
Which organizations bill Medicare for Derek Cooley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Cooley reassigns Medicare benefits to 3 organizations: Ohiohealth Corporation (Columbus, OH), Trihealth H LLC (Cincinnati, OH) and Trihealth G LLC (Cincinnati, OH). 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 Cooley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Cooley accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Derek Cooley 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 Cooley affiliated with any hospitals?
According to CMS data, Derek Cooley is affiliated with Grant Medical Center, Doctors Hospital, Grady Memorial Hospital and Dublin Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Derek Cooley was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Derek Dion Cooley, MD · NPI 1669526406
Hospitalist physician in Dublin, Ohio. Individual provider, active in the CMS NPPES registry since January 22, 2007.
## Identity
- **NPI:** 1669526406 (Entity type: Individual)
- **Enumerated:** January 22, 2007
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 35.096351 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 7450 HOSPITAL DR STE 290, Dublin, OH 43016-9641
- **Phone:** (614) 566-8883 · **Fax:** (614) 566-8149
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ohiohealth Corporation (NPI 1194979526, Columbus, OH); Trihealth H LLC (NPI 1548695638, Cincinnati, OH); Trihealth G LLC (NPI 1295862944, Cincinnati, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** January 25, 2022
- **Other identifiers:** Medicaid 101462924 (PA); Medicaid 3118905 (OH)
---
Source: [NPI Profile](https://npiprofile.com/npi/1669526406) · Data from the CMS NPPES public registry.