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MR. DERRICK L. SMITH M.D.
NPI 1780679894
Family Medicine in Rancho Mirage, CA

Active since September 14, 2005PECOS Enrolled
69730 HIGHWAY 111 STE 109, RANCHO MIRAGE, CA 92270(760) 778-6120(760) 406-6077 Get Directions Write a Review

NPPES record last updated: September 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 15, 2024, Oct 1, 2015 (2 updates tracked since 2015).

About Mr. Derrick L. Smith M.d. NPPES

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

MR. DERRICK L. SMITH M.D. (NPI 1780679894) is an individual family medicine provider in Rancho Mirage, California, licensed in California (G50178) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780679894
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. DERRICK L. SMITHCredential: M.D.
Location Address69730 HIGHWAY 111 STE 109Rancho Mirage, CA 92270-2873
Mailing AddressPo Box 1642Wildomar, CA 92595-1642 · (877) 240-3645 · Fax (951) 609-3706
Phone(760) 778-6120
Fax(760) 406-6077
Sole ProprietorYes
Enumeration DateSeptember 14, 2005
Last NPPES UpdateSeptember 15, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2024
✔ NPI 1780679894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G50178
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.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License G50178 (CA)
Also ListedSurgeryTaxonomy 208600000X · License G50178 (CA)
69730 HIGHWAY 111 STE 109, Rancho Mirage, CA 92270
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Other Names 1

Professional Name (2)Derrick L. Smith M.d.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Derrick L. Smith M.d. 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 92270 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 20

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

WARREN WOOD CADC-CAS
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 322-1777
MR. DEWAYNE PATTERSON SR.
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 322-1777
JOY YAGHOUBIAN CADC I
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 408-1348
AMBER ALVAREZ LVN
Licensed Vocational Nurse
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 409-7100
MARCIE JO GILMAN
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 507-5821
ERIC LEE RENNACKER LMFT
Marriage & Family Therapist
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 322-7111
AURELIA BENAVIDEZ
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 322-1777
WILLIAM WORTHINGTON
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 835-2419

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 Derrick Smith's NPI number?

The NPI number for Derrick Smith is 1780679894. It was assigned to this individual provider in the NPPES registry on September 14, 2005. The provider is also known as Derrick L. Smith M.D..

Where is Derrick Smith located?

Derrick Smith practices at 69730 Highway 111 Ste 109, Rancho Mirage, CA 92270. The listed phone number is (760) 778-6120.

What is Derrick Smith's specialty?

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

Is Derrick Smith enrolled in Medicare?

Yes. Derrick Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derrick Smith was last updated on September 15, 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.