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DEREK DENG
NPI 1811657596
Family Medicine in Lebanon, OR

Active since December 22, 2021PECOS Enrolled
200 MULLINS DRIVE, LEBANON, OR 97355(541) 259-0235 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2026, Dec 22, 2021 (2 updates tracked since 2021).

About Derek Deng NPPES

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

DEREK DENG (NPI 1811657596) is an individual family medicine provider in Lebanon, Oregon, licensed in California (20A24650) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ventura, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811657596
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDEREK DENG
Location Address200 MULLINS DRIVELebanon, OR 97355
Mailing Address200 Mullins DriveLebanon, OR 97355
Phone(541) 259-0235
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 22, 2021
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1811657596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A24650
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.
200 MULLINS DRIVE, Lebanon, OR 97355
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Secondary Practice Location 1

Location 1300 Hillmont Ave Bldg 340 Ste 101Ventura, CA 93003 · Phone (805) 652-6100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Deng is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810488681
PECOS Enrollment IDI20251119002401
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 97355 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 3

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

JACOB MARTIN BERG
Student in an Organized Health Care Education/Training Program
200 MULLINS DRIVE
LEBANON, OR 97355
Linn County (541) 259-0235
CAILIN JOHNSON
Student in an Organized Health Care Education/Training Program
200 MULLINS DRIVE
LEBANON, OR 97355
Linn County (541) 259-0235
CARL HENRY BENSON
Student in an Organized Health Care Education/Training Program
200 MULLINS DRIVE
LEBANON, OR 97355
Linn County (541) 259-0235

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 Derek Deng's NPI number?

The NPI number for Derek Deng is 1811657596. It was assigned to this individual provider in the NPPES registry on December 22, 2021.

Where is Derek Deng located?

Derek Deng practices at 200 Mullins Drive, Lebanon, OR 97355. The listed phone number is (541) 259-0235.

What is Derek Deng's specialty?

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

Is Derek Deng enrolled in Medicare?

Yes. Derek Deng is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derek Deng was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.