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DR. RACHEL LAUREN DERR M.D.
NPI 1811033152
Internal Medicine - Endocrinology, Diabetes & Metabolism in Atlanta, GA

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
69.74/100
CMS Quality Rating
975 JOHNSON FY RD NE, SUITE 400, ATLANTA, GA 30342(404) 843-4000(404) 250-6701 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2020, Jan 11, 2017 (2 updates tracked since 2017).

About Dr. Rachel Lauren Derr M.d. NPPES

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

DR. RACHEL LAUREN DERR M.D. (NPI 1811033152) is an individual endocrinology, diabetes & metabolism provider in Atlanta, Georgia, licensed in Maryland (Q7489) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Johns Hopkins University School Of Medicine (2001).

NPPES Registry Identity

NPI1811033152
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. RACHEL LAUREN DERRCredential: M.D.
Location Address975 JOHNSON FY RD NE, SUITE 400Atlanta, GA 30342-1619
Mailing Address975 Johnson Fy Rd Ne, Suite 400Atlanta, GA 30342-1619 · (404) 843-4000 · Fax (404) 250-6701
Phone(404) 843-4000
Fax(404) 250-6701
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2001
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 28, 20202 updates tracked since enumeration
NPPES CertifiedAugust 28, 2020
✔ NPI 1811033152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MD · Q7489
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
975 JOHNSON FY RD NE, Atlanta, GA 30342
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Dr. Rachel Lauren Derr M.d. 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 ID6406927110
PECOS Enrollment IDI20080623000577
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
10,260 services119 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
639 services413 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
171 services119 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
112 services64 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services53 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
54 services52 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality67.82
Improvement Activities40
Cost58.12

Reported Quality Measures

Controlling High Blood Pressure
55%341 patients3/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%532 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
77%3,353 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%1,840 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 822 patients
Patients screened: 99% · 822 patients
13%24 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
61%515 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients totalRate: 0% · 901 patients
0%901 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers28 claims356 services$18.08 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers30 claims925 services$2.38 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
43 suppliers131 claims631 services$6.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
18 suppliers41 claims100 services$1.07 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers16 claims16 services$308.45 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
23 suppliers524 claims526 services$185.94 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 13

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

STEPHEN MESSNER MD
Pediatrics
975 JOHNSON FY RD NE, SUITE 350
ATLANTA, GA 30342
Fulton County (404) 785-3820
MARTHA DODD DNP, FNP-BC
Nurse Practitioner (Family)
975 JOHNSON FY RD NE, SUITE 350
ATLANTA, GA 30342
Fulton County (404) 785-3820
ELIZABETH BOWEN WILLIAMS NP-C
Nurse Practitioner (Family)
975 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (678) 637-8296
ANNA STAGG PHD
Psychologist
975 JOHNSON FY RD NE, SUITE 350
ATLANTA, GA 30342
Fulton County (404) 785-3820
HEATHER UNDERWOOD FNP-BC
Nurse Practitioner (Family)
975 JOHNSON FY RD NE, SUITE 350
ATLANTA, GA 30342
Fulton County (404) 785-3820
RENAE SPEER CPNP
Nurse Practitioner (Pediatrics)
975 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-3820
VIRGINIA JORDAN GREENBAUM MD
Pathology (Forensic Pathology)
975 JOHNSON FY RD NE, SUITE 350
ATLANTA, GA 30342
Fulton County (404) 785-3820
STEPHANIE EDLHUBER CPNP
Nurse Practitioner (Pediatrics)
975 JOHNSON FY RD NE, SUITE 350
ATLANTA, GA 30342
Fulton County (404) 785-3820

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 Rachel Derr's NPI number?

The NPI number for Rachel Derr is 1811033152. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Rachel Derr located?

Rachel Derr practices at 975 Johnson Fy Rd NE Suite 400, Atlanta, GA 30342. The listed phone number is (404) 843-4000.

What is Rachel Derr's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Rachel Derr enrolled in Medicare?

Yes. Rachel Derr 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 Rachel Derr accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Rachel Derr 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 Rachel Derr affiliated with any hospitals?

According to CMS data, Rachel Derr is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Derr was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.