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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DERRICK H WILLIAMS D.O.
NPI 1780966408
Family Medicine in Berea, KY

Active since September 20, 2011PECOS EnrolledAccepts Medicare Assignment
305 ESTILL ST, 4TH FLOOR, BEREA, KY 40403(859) 986-2343(859) 986-2344 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derrick H Williams D.o. NPPES

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

DERRICK H WILLIAMS D.O. (NPI 1780966408) is an individual family medicine provider in Berea, Kentucky, licensed in Kentucky (03671) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2011).

NPPES Registry Identity

NPI1780966408
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDERRICK H WILLIAMSCredential: D.O.
Location Address305 ESTILL ST, 4TH FLOORBerea, KY 40403-1742
Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835
Phone(859) 986-2343
Fax(859) 986-2344
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2011
Enumeration DateSeptember 20, 2011
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1780966408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 03671
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.
305 ESTILL ST, Berea, KY 40403
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Other Identifiers 1

Medicaid7100253400KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., CareSource.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

Derrick H Williams D.o. 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 ID8628210499
PECOS Enrollment IDI20220210001720
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.

Hospital Affiliations CMS Care Compare 5

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

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Saint Joseph Berea

Critical Access Hospitals · Berea, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181329
Location305 Estill StreetBerea, KY 40403 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40403 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers21 claims40 services$6.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers18 claims18 services$1.00 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers44 claims44 services$21.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers63 claims63 services$112.40 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$30.40 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$171.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. DASEN R RITCHEY M.D.
Surgery
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 986-3151
MS. JILLISA D HAWK ARNP
Nurse Practitioner (Family)
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 986-9521
SAINT JOSEPH MEDICAL FOUNDATION, INC
Urology
305 ESTILL ST, 3RD FLOOR
BEREA, KY 40403
Madison County (859) 985-8100
REBECCA BRANDENBURG APRN- CNP
Nurse Practitioner (Psychiatric/Mental Health)
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 985-1415
SAINT JOSEPH MEDICAL FOUNDATION, INC
Otolaryngology
305 ESTILL ST, 3RD FLOOR
BEREA, KY 40403
Madison County (859) 986-6791
SAINT JOSEPH MEDICAL FOUNDATION, INC
Internal Medicine
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 986-3151
PAMELA RENAE FUGATE APRN
Nurse Practitioner (Family)
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 985-1415
DR. ROSHAN PAIS M.D.
Internal Medicine
305 ESTILL ST, HOSPITALIST DEPT
BEREA, KY 40403
Madison County (859) 986-2344

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 Williams's NPI number?

The NPI number for Derrick Williams is 1780966408. It was assigned to this individual provider in the NPPES registry on September 20, 2011.

Where is Derrick Williams located?

Derrick Williams practices at 305 Estill St 4th Floor, Berea, KY 40403. The listed phone number is (859) 986-2343.

What is Derrick Williams's specialty?

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

Is Derrick Williams enrolled in Medicare?

Yes. Derrick Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Derrick Williams accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and CareSource list Derrick Williams 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.

Is Derrick Williams affiliated with any hospitals?

According to CMS data, Derrick Williams is affiliated with Saint Joseph London, Baptist Health Richmond, Baptist Health Lexington, Saint Joseph East and Saint Joseph Berea.

When was this NPI record last updated?

The NPPES record for Derrick Williams was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.