DR. DEREK MARTIN BLEVINS M.D.
NPI 1720321565
Psychiatry & Neurology - Psychiatry in New York, NY

Active since March 29, 2013Opted out of Medicare · through Feb 25, 2027
110 E 60TH ST RM 900, NEW YORK, NY 10022(914) 340-4535(385) 355-2734 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2024, May 11, 2022, Dec 31, 2018 (3 updates tracked since 2018).

About Dr. Derek Martin Blevins M.d. NPPES

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

DR. DEREK MARTIN BLEVINS M.D. (NPI 1720321565) is an individual psychiatry provider in New York, New York, licensed in New York (288318) and active in the NPI registry since March 2013. He has opted out of Medicare through February 25, 2027 and remains eligible to order and refer and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1720321565
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. DEREK MARTIN BLEVINSCredential: M.D.
Location Address110 E 60TH ST RM 900New York, NY 10022-1697
Mailing Address120 E 56th St Rm 300New York, NY 10022-3753 · (914) 340-4535 · Fax (385) 355-2734
Fax(385) 355-2734
Sole ProprietorYes
Enumeration DateMarch 29, 2013
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
NPI 1720321565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NY · 288318
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.
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License 288318 (NY)
110 E 60TH ST RM 900, New York, NY 10022

Secondary Practice Location 1

Location 11051 Riverside Dr Unit 66New York, NY 10032-1007 · Phone (646) 774-6133 · Fax (385) 355-2734

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Derek Martin Blevins M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 25, 2021 through February 25, 2027.

Opt-Out Effective DateFebruary 25, 2021
Opt-Out In Effect ThroughFebruary 25, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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 Blevins's NPI number?

The NPI number for Derek Blevins is 1720321565. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Where is Derek Blevins located?

Derek Blevins practices at 110 E 60th St Rm 900, New York, NY 10022. The listed phone number is (914) 340-4535.

What is Derek Blevins's specialty?

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

Is Derek Blevins enrolled in Medicare?

No. Derek Blevins has opted out of Medicare through February 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Derek Blevins was last updated on July 9, 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.