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DR. DEREK CLUFF DMD
NPI 1760917975
Dentist - General Practice in Minot Afb, ND

Active since April 25, 2017Opted out of Medicare · through Aug 2, 2027
194 MISSLE AVE, MINOT AFB, ND 58703(701) 723-5565 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2020, Apr 25, 2017 (2 updates tracked since 2017).

About Dr. Derek Cluff Dmd NPPES

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

DR. DEREK CLUFF DMD (NPI 1760917975) is an individual general practice provider in Minot Afb, North Dakota, licensed in Texas (33509) and active in the NPI registry since April 2017. He has opted out of Medicare through August 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1760917975
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DEREK CLUFFCredential: DMD
Location Address194 MISSLE AVEMinot Afb, ND 58703
Mailing Address7219 S Brittany Town DrWest Jordan, UT 84084-4604 · (806) 445-7773
Phone(701) 723-5565
Sole ProprietorNo
Enumeration DateApril 25, 2017
Last NPPES UpdateMarch 11, 20202 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1760917975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 33509
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
194 MISSLE AVE, Minot Afb, ND 58703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Alaska, Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Derek Cluff Dmd 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 August 2, 2023 through August 2, 2027.

Opt-Out Effective DateAugust 2, 2023
Opt-Out In Effect ThroughAugust 2, 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 58703 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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 Cluff's NPI number?

The NPI number for Derek Cluff is 1760917975. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Derek Cluff located?

Derek Cluff practices at 194 Missle Ave, Minot Afb, ND 58703. The listed phone number is (701) 723-5565.

What is Derek Cluff's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Derek Cluff enrolled in Medicare?

No. Derek Cluff has opted out of Medicare through August 2, 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.

What insurance does Derek Cluff accept?

Health plans from Delta Dental of Alaska and Moda Health Plan, Inc. list Derek Cluff 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.

When was this NPI record last updated?

The NPPES record for Derek Cluff was last updated on March 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.