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DR. DEREK FORSTHOEFEL M.D.
NPI 1861754855
Internal Medicine in Bethesda, MD

Active since June 14, 2012PECOS EnrolledAccepts Medicare Assignment
WALTER REED NATIONAL MILITARY CTR, 8901 WISCONSIN AVENUE, BETHESDA, MD 20889(301) 295-0196 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Derek Forsthoefel M.d. NPPES

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

DR. DEREK FORSTHOEFEL M.D. (NPI 1861754855) is an individual internal medicine provider in Bethesda, Maryland, licensed in Ohio (35123882) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and is a graduate of Northeastern Ohio University College Of Medicine (2012).

NPPES Registry Identity

NPI1861754855
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DEREK FORSTHOEFELCredential: M.D.
Location AddressWALTER REED NATIONAL MILITARY CTR, 8901 WISCONSIN AVENUEBethesda, MD 20889-5600
Mailing AddressWalter Reed National Military Ctr, 8901 Wisconsin AvenueBethesda, MD 20889-5600 · (301) 295-0196
Phone(301) 295-0196
Sole ProprietorYes
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2012
Enumeration DateJune 14, 2012
Last NPPES UpdateJanuary 11, 2016
✔ NPI 1861754855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35123882
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
WALTER REED NATIONAL MILITARY CTR, Bethesda, MD 20889
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Derek Forsthoefel 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 ID7911139001
PECOS Enrollment IDI20190624002530
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
455 services235 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
424 services350 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
299 services256 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
178 services119 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.
153 services147 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

Mercer County Joint Township Community Hospital

Acute Care Hospitals · Coldwater, OH
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number360058
Location800 West Main StreetColdwater, OH 45828 · Mercer County
Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20889 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers21 claims21 services$20.48 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers18 claims19 services$8.21 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers32 claims32 services$114.40 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 20

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

STEPHANIE AJUZIE M.D.
Student in an Organized Health Care Education/Training Program
WALTER REED NATIONAL MILITARY CTR, 4494 NORTH PALMER ROAD, BUILDING 10, 1ST FLOOR, ROOM 10
BETHESDA, MD 20889
Montgomery County (301) 295-9283
ANN NOTHWEHR
Dietitian, Registered
WALTER REED NATIONAL MILITARY CTR
BETHESDA, MD 20889
Montgomery County (301) 295-0697
MEMAR D. AYALEW PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
WALTER REED NATIONAL MILITARY CTR
BETHESDA, MD 20889
Montgomery County (301) 400-1527
DR. TIMOTHY L LOZON D.D.S.
Dentist (General Practice)
WALTER REED NATIONAL MILITARY CTR, 8901 WISCONSIN AVENUE BLDG 2 ROOM 2661
BETHESDA, MD 20889
Montgomery County (301) 295-4059
ALEXANDER DEW D.O.
Internal Medicine (Hematology & Oncology)
WALTER REED NATIONAL MILITARY CTR
BETHESDA, MD 20889
Montgomery County (301) 319-8361
DR. LAURA TANCRETI MULREANY M.D.
Pediatrics (Pediatric Pulmonology)
WALTER REED NATIONAL MILITARY CTR, 8901 WISCONSIN AVE, DEPARTMENT OF PEDIATRICS
BETHESDA, MD 20889
Montgomery County (301) 295-4959
ANDREA CRUNKHORN PT
Physical Therapist
WALTER REED NATIONAL MILITARY CTR, 4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (301) 295-2737
MS. LENORA CHRISTINE FREEMAN LICSW/LCSW-C
Social Worker (Clinical)
WALTER REED NATIONAL MILITARY CTR, 8901 WISCONSIN AVENUE
BETHESDA, MD 20889
Montgomery County (301) 295-7623

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 Forsthoefel's NPI number?

The NPI number for Derek Forsthoefel is 1861754855. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Derek Forsthoefel located?

Derek Forsthoefel practices at Walter Reed National Military Ctr 8901 Wisconsin Avenue, Bethesda, MD 20889. The listed phone number is (301) 295-0196.

What is Derek Forsthoefel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Derek Forsthoefel enrolled in Medicare?

Yes. Derek Forsthoefel 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 Derek Forsthoefel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Derek Forsthoefel 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 Derek Forsthoefel affiliated with any hospitals?

According to CMS data, Derek Forsthoefel is affiliated with Lima Memorial Health System, Grand Lake Health System, Mercer County Joint Township Community Hospital, Mercy Health-St Rita's Medical Center and Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Derek Forsthoefel was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.