LAWRENCE DERBES JR. MD
NPI 1902906787
Internal Medicine - Cardiovascular Disease in Sandpoint, ID

Q: What is Lawrence Derbes's NPI number?

The NPI number for Lawrence Derbes is 1902906787. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Q: What is Lawrence Derbes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Lawrence Derbes was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 22, 2006PECOS EnrolledAccepts Medicare Assignment

94.91/100

CMS Quality Rating

423 N THIRD AVE STE 355, SANDPOINT, ID 83864(208) 265-7070(208) 265-7071 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2024, Jul 23, 2021 (2 updates tracked since 2021).

On this page

About Lawrence Derbes Jr. Md NPPES

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

LAWRENCE DERBES JR. MD (NPI 1902906787) is an individual cardiovascular disease provider in Sandpoint, Idaho, licensed in Idaho (M-15859) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1985).

NPPES Registry Identity

NPI1902906787

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameLAWRENCE DERBES JR.Credential: MD

Location Address423 N THIRD AVE STE 355Sandpoint, ID 83864-1511

Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 265-7070 · Fax (208) 265-7071

Phone(208) 265-7070

Fax(208) 265-7071

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1985

Enumeration DateSeptember 22, 2006

Last NPPES UpdateMay 1, 20242 updates tracked since enumeration

NPPES CertifiedMay 1, 2024

✔ NPI 1902906787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in ID · M-15859

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

423 N THIRD AVE STE 355, Sandpoint, ID 83864

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Other Identifiers 4

Medicaid578833-01HI

Other536740HI · Hmn

Other279541HI · Uha

Other0000242511HI · Hmsa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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

Lawrence Derbes Jr. Md 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 ID3072506005

PECOS Enrollment IDI20260302001435

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 Lawrence Derbes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boundary Community Hospital

31 mi

Emergency Medical Services

6640 KANIKSU ST
Bonners Ferry, ID 83805

Reassigned Medicare billing, Idaho enrollment
83 clinicians in this Medicare group

NPI 1679621098 (208) 267-4850

Ochsner Mississippi, LLC

1,755 mi

Internal Medicine

401 BAPTIST DR STE 301
Madison, MS 39110

Reassigned Medicare billing, Mississippi enrollment
326 clinicians in this Medicare group

NPI 1356836118 (504) 842-5338

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 22

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

656 services622 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

521 services452 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

296 services247 patients

Injection, perflutren lipid microspheres, per ml Q9957

Perflutren lipid microspheres injection, per ml, is a diagnostic tool used to enhance ultrasound images. It contains tiny gas-filled bubbles that improve the clarity of the images, aiding in a more accurate diagnosis.

184 services87 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

156 services154 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.

96 services96 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

80 services35 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

73 services69 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

73 services69 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

62 services26 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

58 services58 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

55 services51 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.

55 services55 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

43 services43 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

36 services35 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

34 services34 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

26 services24 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

22 services22 patients

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional 93224

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.

21 services21 patients

Injection of x-ray contrast during ultrasound of heart 93352

This procedure involves injecting a special dye into your bloodstream during a heart ultrasound. This dye, visible on X-rays, helps create clearer images of your heart's structure and function. It's safe and assists in diagnosing heart conditions accurately.

21 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

17 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number130049

Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County

Emergency services Birthing friendly

Bonner General Hospital

Critical Access Hospitals · Sandpoint, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131328

Location520 North Third AvenueSandpoint, ID 83864 · Bonner County

Emergency services

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190036

Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County

Emergency services Birthing friendly

Slidell Memorial Hospital

Acute Care Hospitals · Slidell, LA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190040

Location1001 Gause BlvdSlidell, LA 70458 · St. Tammany County

Emergency services Birthing friendly

Ochsner Medical Center-Hancock

Acute Care Hospitals · Bay Saint Louis, MS

OwnershipGovernment - Local

CMS Certification Number250162

Location149 Drinkwater BlvdBay Saint Louis, MS 39520 · Hancock County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83864 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

94.91/100

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

Scored through an Alternative Payment Model

Quality

87.83

Promoting Interoperability

100

Improvement Activities

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 Lawrence Derbes's NPI number?

The NPI number for Lawrence Derbes is 1902906787. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Lawrence Derbes located?

Lawrence Derbes practices at 423 N Third Ave Ste 355, Sandpoint, ID 83864. The listed phone number is (208) 265-7070.

What is Lawrence Derbes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Lawrence Derbes enrolled in Medicare?

Yes. Lawrence Derbes 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.

Which organizations bill Medicare for Lawrence Derbes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Derbes reassigns Medicare benefits to 2 organizations: Boundary Community Hospital (Bonners Ferry, ID) and Ochsner Mississippi, LLC (Madison, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lawrence Derbes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lawrence Derbes accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Lawrence Derbes 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 Lawrence Derbes affiliated with any hospitals?

According to CMS data, Lawrence Derbes is affiliated with Kootenai Health, Bonner General Hospital, Ochsner Medical Center Acute, Slidell Memorial Hospital and Ochsner Medical Center-Hancock.

When was this NPI record last updated?

The NPPES record for Lawrence Derbes was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.