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PAUL J DERDEN MD
NPI 1780655613
Family Medicine in Johnson City, TN

Active since January 30, 2006PECOS Enrolled
403 PRINCETON RD STE 10, JOHNSON CITY, TN 37601(423) 431-7340 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul J Derden Md NPPES

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

PAUL J DERDEN MD (NPI 1780655613) is an individual family medicine provider in Johnson City, Tennessee, licensed in Virginia (0101036190) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780655613
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL J DERDENCredential: MD
Location Address403 PRINCETON RD STE 10Johnson City, TN 37601-2062
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Phone(423) 431-7340
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateAugust 20, 2024
NPPES CertifiedAugust 20, 2024
✔ NPI 1780655613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101036190
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
403 PRINCETON RD STE 10, Johnson City, TN 37601
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul J Derden Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 37601 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 2

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

DEBORAH L JOHNSON
Nurse Practitioner (Family)
403 PRINCETON RD STE 10
JOHNSON CITY, TN 37601
Washington County (423) 431-7340
BLUE RIDGE MEDICAL MANAGEMENT C ORPORATION
Internal Medicine
403 PRINCETON RD STE 10
JOHNSON CITY, TN 37601
Washington County (423) 431-7340

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 Paul Derden's NPI number?

The NPI number for Paul Derden is 1780655613. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Paul Derden located?

Paul Derden practices at 403 Princeton Rd Ste 10, Johnson City, TN 37601. The listed phone number is (423) 431-7340.

What is Paul Derden's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Derden enrolled in Medicare?

Yes. Paul Derden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Derden was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.