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DR. DEREK SEAN BUMGARNER M.D.
NPI 1861734683
Pathology - Anatomic Pathology & Clinical Pathology in Maywood, IL

Active since March 19, 2013PECOS Enrolled
2160 S 1ST AVE, DEPARTMENT OF PATHOLOGY BUILDING 110 ROOM 2209, MAYWOOD, IL 60153(708) 216-3250(708) 327-2620 Get Directions Write a Review

NPPES record last updated: August 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Derek Sean Bumgarner M.d. NPPES

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

DR. DEREK SEAN BUMGARNER M.D. (NPI 1861734683) is an individual anatomic pathology & clinical pathology provider in Maywood, Illinois, licensed in Illinois (036.138853) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861734683
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. DEREK SEAN BUMGARNERCredential: M.D.
Location Address2160 S 1ST AVE, DEPARTMENT OF PATHOLOGY BUILDING 110 ROOM 2209Maywood, IL 60153-3328
Mailing Address2160 S 1st Ave, Department Of Pathology Building 110 Room 2209Maywood, IL 60153-3328 · (708) 216-3250 · Fax (708) 327-2620
Phone(708) 216-3250
Fax(708) 327-2620
Sole ProprietorYes
Enumeration DateMarch 19, 2013
Last NPPES UpdateAugust 7, 2015
✔ NPI 1861734683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in IL · 036.138853
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
2160 S 1ST AVE, Maywood, IL 60153
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derek Sean Bumgarner 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 60153 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

ANITA OZA NAGAMINE M.D.
Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
DR. BRYCE ANDREW PASCHOLD D.P.M.
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-4254
DR. ANTONIO HERNANDO IGLESIAS M.D.
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
IAN CHARLES MCCOMB
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
JAMES WU D.O.
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
PAIGE T SONG MD
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888
ELIZABETH CHO
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-1274
DR. CATHRYN T SAWALSKI DO, MBA
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888

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 Bumgarner's NPI number?

The NPI number for Derek Bumgarner is 1861734683. It was assigned to this individual provider in the NPPES registry on March 19, 2013.

Where is Derek Bumgarner located?

Derek Bumgarner practices at 2160 S 1st Ave Department Of Pathology Building 110 Room 2209, Maywood, IL 60153. The listed phone number is (708) 216-3250.

What is Derek Bumgarner's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Derek Bumgarner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Derek Bumgarner was last updated on August 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.