DEREK GOERKE M.D.
NPI 1831519636
Surgery in Coon Rapids, MN

Q: What is Derek Goerke's NPI number?

The NPI number for Derek Goerke is 1831519636. It was assigned to this individual provider in the NPPES registry on April 18, 2014.

Q: What is Derek Goerke's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Goerke was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 18, 2014PECOS EnrolledAccepts Medicare Assignment

83.53/100

CMS Quality Rating

11850 BLACKFOOT ST NW STE 300, COON RAPIDS, MN 55433(763) 236-9000 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2019, Jul 30, 2019, Jul 25, 2019 (3 updates tracked since 2019).

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About Derek Goerke M.d. NPPES

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

DEREK GOERKE M.D. (NPI 1831519636) is an individual surgery provider in Coon Rapids, Minnesota, licensed in Minnesota (62180) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Buffalo Hospital, and is a graduate of University Of Minnesota Medical School (2014).

NPPES Registry Identity

NPI1831519636

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDEREK GOERKECredential: M.D.

Location Address11850 BLACKFOOT ST NW STE 300Coon Rapids, MN 55433-2772

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000

Phone(763) 236-9000

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2014

Enumeration DateApril 18, 2014

Last NPPES UpdateSeptember 30, 20193 updates tracked since enumeration

✔ NPI 1831519636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MN · 62180

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

11850 BLACKFOOT ST NW STE 300, Coon Rapids, MN 55433

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derek Goerke 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 ID2062717242

PECOS Enrollment IDI20190801000334

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.

Medicare Billing Reassignments

Medicare enrollment records show Derek Goerke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allina Health System

0.1 mi

Neurological Surgery

11850 BLACKFOOT ST NW STE 490
Coon Rapids, MN 55433

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1649576091 (Minnesota)
2,609 clinicians in this Medicare group

NPI 1275351413 (612) 871-7278

Group Health Plan, Inc.

1.3 mi

Health Service

2100 3RD AVE, ANOKA COUNTY GOVERNMENT CENTER
Anoka, MN 55303

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Group Health Inc
2,274 clinicians in this Medicare group

NPI 1962704346 (952) 883-7598

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

18 services18 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

18 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Buffalo Hospital

Acute Care Hospitals · Buffalo, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number240076

Location303 Catlin StreetBuffalo, MN 55313 · Wright County

Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240115

Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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.

83.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

63.31

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.

CHELSIE NICOLE HORNER PA-C

Physician Assistant (Surgical)