DEREK J MENKEDICK D.O.
NPI 1699137364
Psychiatry & Neurology - Neurology in Centerville, OH

Q: What is Derek Menkedick's NPI number?

The NPI number for Derek Menkedick is 1699137364. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Q: What is Derek Menkedick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Derek Menkedick was last updated on July 11, 2024. 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.

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment

84.5/100

CMS Quality Rating

1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459(937) 439-6186(937) 439-6189 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2024, Jun 16, 2021, Jan 14, 2021 and 4 more (7 updates tracked since 2016).

On this page

About Derek J Menkedick D.o. NPPES

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

DEREK J MENKEDICK D.O. (NPI 1699137364) is an individual neurology provider in Centerville, Ohio, licensed in Ohio (34.014272) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and maintains a secondary practice location in Kettering.

NPPES Registry Identity

NPI1699137364

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDEREK J MENKEDICKCredential: D.O.

Location Address1975 MIAMISBURG CENTERVILLE RDCenterville, OH 45459-3811

Mailing Address1975 Miamisburg Centerville RdCenterville, OH 45459-3811 · (937) 439-6186 · Fax (937) 439-6189

Phone(937) 439-6186

Fax(937) 439-6189

Sole ProprietorYes

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2016

Enumeration DateMarch 22, 2016

Last NPPES UpdateJuly 11, 20247 updates tracked since enumeration

NPPES CertifiedJuly 11, 2024

✔ NPI 1699137364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in OH · 34.014272

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedInternal MedicineTaxonomy 207R00000X · License 34.014272 (OH)

1975 MIAMISBURG CENTERVILLE RD, Centerville, OH 45459

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Secondary Practice Location 1

Location 13700 Southern Blvd Ste 300Kettering, OH 45429-1265 · Phone (937) 643-9299 · Fax (937) 643-2343

Other Identifiers 1

Medicaid0400966OH

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 and accepts Medicare assignment

Derek J Menkedick D.o. 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 ID5991096117

PECOS Enrollment IDI20200605001960

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 16

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

6,200 services13 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

132 services131 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

122 services122 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

67 services51 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.

50 services45 patients

Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box 64616

This procedure involves injecting a chemical into specific neck muscles, causing temporary paralysis. It's designed to alleviate symptoms related to nerve disorders. The voice box isn't affected, ensuring normal speech post-procedure.

36 services16 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.

36 services35 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

34 services18 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

33 services33 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

32 services20 patients

Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874

This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.

26 services11 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

26 services20 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

15 services13 patients

Nerve conduction, 7-8 studies 95910

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.

14 services13 patients

Nerve conduction, 7-8 studies 95910

12 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360079

Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County

Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360239

Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County

Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360360

Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County

Emergency services Birthing friendly

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number361332

Location1275 North High StreetHillsboro, OH 45133 · Highland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

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.

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.

84.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.16

Promoting Interoperability

100

Improvement Activities

Cost

67.18

Reported Quality Measures

Advance Care Plan

73%394 patients3/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

51%225 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

8%462 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

76%49 patients4/55-star benchmark: 91%

Dementia: Cognitive Assessment

28%50 patients

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

96%50 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%1,037 patients5/55-star benchmark: 100%

e-Prescribing

100%475 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

51%381 patients3/55-star benchmark: 100%

HIV Screening

3%555 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

25%904 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

24%822 patients2/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

24%964 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 88% · 513 patients

Patients screened: 99% · 513 patients

19%73 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

62%405 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

79%151 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 404 patients

Patients totalRate: 4% · 405 patients

2%405 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. TIMOTHY LEE SCHOONOVER D.O.

Psychiatry & Neurology (Neurology)

1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459

Montgomery County (937) 439-6186

RACHEL HURTUBISE PA-C

Physician Assistant

1975 MIAMISBURG CENTERVILLE RD
WASHINGTON TOWNSHIP, OH 45459

Montgomery County (937) 439-6186

CAMILLE ELIZABETH HUGHES PA-C

Physician Assistant (Medical)

1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459

Montgomery County (937) 439-6186

KIRSTEN M UPTON PA-C

Physician Assistant

1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459

Montgomery County (937) 439-6186

MARTHA ELIZABETH BAUMANN

Nurse Practitioner

1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459

Montgomery County (937) 439-6186

MEGAN MILLER FNP-C

Nurse Practitioner (Family)

1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459

Montgomery County (937) 439-6186

ANGELA SUE WRIGHT NP

Nurse Practitioner (Family)

1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459

Montgomery County (937) 439-6186

MS. KRISTI R KAEFF PA

Physician Assistant (Medical)

1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459

Montgomery County (937) 439-6186

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 Menkedick's NPI number?

The NPI number for Derek Menkedick is 1699137364. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Derek Menkedick located?

Derek Menkedick practices at 1975 Miamisburg Centerville Rd, Centerville, OH 45459. The listed phone number is (937) 439-6186.

What is Derek Menkedick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Derek Menkedick enrolled in Medicare?

Yes. Derek Menkedick 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 Derek Menkedick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Derek Menkedick 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 Menkedick affiliated with any hospitals?

According to CMS data, Derek Menkedick is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg, Soin Medical Center and Highland District Hospital.

When was this NPI record last updated?

The NPPES record for Derek Menkedick was last updated on July 11, 2024. 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.