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DEREK KAIHAO SHIEH SU MD
NPI 1679066765
Psychiatry & Neurology - Psychiatry in Columbia, MO

Active since June 13, 2018PECOS EnrolledAccepts Medicare Assignment
98.4/100
CMS Quality Rating
1 HOSPITAL DR # 67.00, COLUMBIA, MO 65212(573) 882-8907(573) 884-1070 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Oct 27, 2023, Aug 10, 2021, Jun 13, 2018 (3 updates tracked since 2018).

About Derek Kaihao Shieh Su Md NPPES

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

DEREK KAIHAO SHIEH SU MD (NPI 1679066765) is an individual psychiatry provider in Columbia, Missouri, licensed in Missouri (2018019993) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Joseph, and is a graduate of University Of Missouri, Columbia School Of Medicine (2018).

NPPES Registry Identity

NPI1679066765
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDEREK KAIHAO SHIEH SUCredential: MD
Location Address1 HOSPITAL DR # 67.00Columbia, MO 65212-1000
Mailing Address1 Hospital Dr # 67.00Columbia, MO 65212-1000 · (573) 882-8907 · Fax (573) 884-1070
Phone(573) 882-8907
Fax(573) 884-1070
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2018
Enumeration DateJune 13, 2018
Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1679066765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MO · 2018019993
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1 HOSPITAL DR # 67.00, Columbia, MO 65212
Open in Google Maps ↗

Secondary Practice Location 1

Location 15325 Faraon StSaint Joseph, MO 64506-3488 · Phone (816) 271-7273

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

Derek Kaihao Shieh Su 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.

PECOS PAC ID4082961230
PECOS Enrollment IDI20231016002340
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 65212 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
$161.24 typical visit price
range $52.28 – $161.24
Typical copayment $40.31 (range $13.07 – $40.31)
Most-billed visit code 99205
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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.

98.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost94.69

Other Providers at the Same Location NPPES

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

DR. DAVID BRENT MAURO MD
Psychiatry & Neurology (Psychiatry)
1 HOSPITAL DR # 67.00
COLUMBIA, MO 65212
Boone County (573) 882-8907

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 Su's NPI number?

The NPI number for Derek Su is 1679066765. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Derek Su located?

Derek Su practices at 1 Hospital Dr # 67.00, Columbia, MO 65212. The listed phone number is (573) 882-8907.

What is Derek Su's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Derek Su enrolled in Medicare?

Yes. Derek Su 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.

When was this NPI record last updated?

The NPPES record for Derek Su was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.