DERICK MORDUS DO
NPI 1861817785
Physical Medicine & Rehabilitation in Clarksville, TN

Active since February 28, 2014PECOS EnrolledAccepts Medicare Assignment
1000 S GATEWAY BLVD, CLARKSVILLE, TN 37043(931) 552-4340(931) 552-0999 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2025, Mar 5, 2019 (2 updates tracked since 2019).

About Derick Mordus Do NPPES

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

DERICK MORDUS DO (NPI 1861817785) is an individual physical medicine & rehabilitation provider in Clarksville, Tennessee, licensed in Tennessee (6367) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861817785
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDERICK MORDUSCredential: DO
Location Address1000 S GATEWAY BLVDClarksville, TN 37043-8118
Mailing AddressPo Box 306556Nashville, TN 37230-6556 · (615) 329-2294 · Fax (615) 695-1494
Fax(931) 552-0999
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 28, 2014
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
NPI 1861817785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Licenses Licensed in TN · 6367 Licensed in NE · 1346
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1000 S GATEWAY BLVD, Clarksville, TN 37043

Secondary Practice Locations 2

Location 19040 Jackson AveTacoma, WA 98433 · Phone (253) 968-6968
Location 28901 Wisconsin AveBethesda, MD 20889-0004 · Phone (425) 445-8924

Accepted 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

Derick Mordus Do 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 ID1153720776
PECOS Enrollment IDI20210601001423, I20250724002553
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 17

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
342 services198 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
225 services29 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
180 services16 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
162 services162 patients
Nerve conduction, 11-12 studies 95912
Nerve conduction studies are tests that measure how well your nerves are working. In 11-12 studies, small electrodes are placed on your skin to send and receive electrical signals. These signals show how quickly and effectively your nerves are transmitting signals, helping to identify any nerve damage or dysfunction.
128 services118 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.
103 services64 patients

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.

Physical Therapist
1000 S GATEWAY BLVD
CLARKSVILLE, TN 37043
Physical Therapist
1000 S GATEWAY BLVD
CLARKSVILLE, TN 37043
Orthopaedic Surgery
1000 S GATEWAY BLVD
CLARKSVILLE, TN 37043
Orthopaedic Surgery
1000 S GATEWAY BLVD
CLARKSVILLE, TN 37043
Physical Therapist
1000 S GATEWAY BLVD
CLARKSVILLE, TN 37043
Orthopaedic Surgery
1000 S GATEWAY BLVD
CLARKSVILLE, TN 37043
Physical Therapist
1000 S GATEWAY BLVD
CLARKSVILLE, TN 37043
Orthopaedic Surgery (Sports Medicine)
1000 S GATEWAY BLVD
CLARKSVILLE, TN 37043

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 Derick Mordus's NPI number?

The NPI number for Derick Mordus is 1861817785. It was assigned to this individual provider in the NPPES registry on February 28, 2014.

Where is Derick Mordus located?

Derick Mordus practices at 1000 S Gateway Blvd, Clarksville, TN 37043. The listed phone number is (931) 552-4340.

What is Derick Mordus's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Derick Mordus enrolled in Medicare?

Yes. Derick Mordus 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 Derick Mordus accept?

Health plans from BlueCross BlueShield of Tennessee, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Derick Mordus 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.

When was this NPI record last updated?

The NPPES record for Derick Mordus was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.