MICHAEL DERRICK M.D.
NPI 1790133734
Pediatrics in Richmond, IN

Q: What is Michael Derrick's NPI number?

The NPI number for Michael Derrick is 1790133734. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Q: What is Michael Derrick's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Derrick was last updated on May 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 01, 2016PECOS Enrolled

1100 REID PKWY, REID HOSPITAL & HEALTH CARE SERVICES, RICHMOND, IN 47374(765) 983-3492(765) 983-7958 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2021, Nov 4, 2020, Jul 16, 2019 (3 updates tracked since 2019).

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About Michael Derrick M.d. NPPES

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

MICHAEL DERRICK M.D. (NPI 1790133734) is an individual pediatrics provider in Richmond, Indiana, licensed in Indiana (01082585A) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1790133734

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMICHAEL DERRICKCredential: M.D.

Location Address1100 REID PKWY, REID HOSPITAL & HEALTH CARE SERVICESRichmond, IN 47374

Mailing Address1100 Reid Pkwy, Medical Staff ServicesRichmond, IN 47374-1157 · (765) 935-8807 · Fax (765) 935-8807

Phone(765) 983-3492

Fax(765) 983-7958

Sole ProprietorNo

Enumeration DateJune 1, 2016

Last NPPES UpdateMay 13, 20213 updates tracked since enumeration

NPPES CertifiedMay 13, 2021

✔ NPI 1790133734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01082585A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

1100 REID PKWY, Richmond, IN 47374

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Secondary Practice Location 1

Location 11600 SW Archer Rd, HD408Gainesville, FL 32610-3003 · Phone (801) 362-1718

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Derrick 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 47374 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

THOMAS P. GLYNN JR. M.D.

Radiology (Diagnostic Radiology)