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CHRISTINE DERISSE
NPI 1669828968
Family Medicine in Winston Salem, NC

Active since May 05, 2016PECOS EnrolledAccepts Medicare Assignment
105 VEST MILL CIR, WINSTON SALEM, NC 27103(336) 718-7800(336) 718-7900 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 26, 2020, Nov 11, 2019 (2 updates tracked since 2019).

About Christine Derisse NPPES

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

CHRISTINE DERISSE (NPI 1669828968) is an individual family medicine provider in Winston Salem, North Carolina, licensed in North Carolina (2019-02192) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1669828968
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCHRISTINE DERISSE
Location Address105 VEST MILL CIRWinston Salem, NC 27103-2943
Mailing AddressPo Box 751803Charlotte, NC 28275-1803
Phone(336) 718-7800
Fax(336) 718-7900
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 5, 2016
Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
✔ NPI 1669828968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 2019-02192✔ Licensed in IL · 125069058
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
105 VEST MILL CIR, Winston Salem, NC 27103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Christine Derisse 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 ID547554735
PECOS Enrollment IDI20191126002328
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.

Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
194 services19 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.
100 services75 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.
73 services51 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.
63 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
8 suppliers18 claims44 services$6.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims11 services$0.96 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers19 claims19 services$184.82 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 20

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

JULIE T. DUBUISSON PA
Physician Assistant
105 VEST MILL CIR, DBA SALEM FAMILY PRACTICE
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7800
KENT WIDLE RPH
Pharmacist
105 VEST MILL CIR
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7894
MS. TONI BETH JACKSON PA-C
Physician Assistant
105 VEST MILL CIR
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7800
SHERRILL D. BRASWELL JR. MD
Family Medicine
105 VEST MILL CIR
WINSTON-SALEM, NC 27103
Forsyth County (336) 718-7800
JOHN F. DAVIS MD
Family Medicine
105 VEST MILL CIR
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7800
JOHN G ROACH III MD
Family Medicine
105 VEST MILL CIR
WINSTON-SALEM, NC 27103
Forsyth County (336) 718-7800
JOHN D PHIPPS MD
Internal Medicine
105 VEST MILL CIR, SUITE 201
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7800
MRS. ANDREA M GEORGER RPA-C
Physician Assistant
105 VEST MILL CIR
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7800

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 Christine Derisse's NPI number?

The NPI number for Christine Derisse is 1669828968. It was assigned to this individual provider in the NPPES registry on May 5, 2016.

Where is Christine Derisse located?

Christine Derisse practices at 105 Vest Mill Cir, Winston Salem, NC 27103. The listed phone number is (336) 718-7800.

What is Christine Derisse's specialty?

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

Is Christine Derisse enrolled in Medicare?

Yes. Christine Derisse 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 Christine Derisse accept?

Health plans from Blue Cross and Blue Shield of NC list Christine Derisse 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 Christine Derisse affiliated with any hospitals?

According to CMS data, Christine Derisse is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Christine Derisse was last updated on October 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.