MICHAEL JOSEPH DERICKSON M.D.
NPI 1750707261
Surgery - Trauma Surgery in Nashville, TN

Q: What is Michael Derickson's NPI number?

The NPI number for Michael Derickson is 1750707261. It was assigned to this individual provider in the NPPES registry on March 7, 2014.

Q: What is Michael Derickson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Q: When was this NPI record last updated?

The NPPES record for Michael Derickson was last updated on June 1, 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.

Active since March 07, 2014PECOS EnrolledAccepts Medicare Assignment

97.12/100

CMS Quality Rating

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2022, May 19, 2021 (2 updates tracked since 2021).

On this page

About Michael Joseph Derickson M.d. NPPES

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

MICHAEL JOSEPH DERICKSON M.D. (NPI 1750707261) is an individual trauma surgery provider in Nashville, Tennessee, licensed in Tennessee (63026) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains a secondary practice location in Joint Base Lewis Mcchord.

NPPES Registry Identity

NPI1750707261

Entity TypeIndividualMale

Primary Taxonomy2086S0127X

Provider Legal NameMICHAEL JOSEPH DERICKSONCredential: M.D.

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-1000

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691

Phone(615) 322-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 7, 2014

Last NPPES UpdateJune 1, 20222 updates tracked since enumeration

NPPES CertifiedJune 1, 2022

✔ NPI 1750707261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0127X

License✔ Licensed in TN · 63026

Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Also ListedSurgeryTaxonomy 208600000X · License 63026 (TN), 28843 (NE)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

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Secondary Practice Location 1

Location 19040 Fitzsimmons DrJoint Base Lewis McChord, WA 98431-1000 · Phone (253) 968-0236

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Insurance Company.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

Michael Joseph Derickson M.d. 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 ID6800117441

PECOS Enrollment IDI20210611001489

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.

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.

134 services65 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.

118 services69 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

56 services26 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.

39 services39 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440039

Location1211 Medical Center DriveNashville, TN 37232 · Davidson County

Emergency services Birthing friendly

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440059

Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County

Emergency services Birthing friendly

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.

97.12/100

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

Scored through an Alternative Payment Model

Quality

85.64

Promoting Interoperability

100

Improvement Activities

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. ENGLISH FLACK MD

Pediatrics (Pediatric Cardiology)