DR. DEREK THOMAS NAGLE M.D.
NPI 1942413844
Surgery in Grand Rapids, MI
About Dr. Derek Thomas Nagle M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEREK THOMAS NAGLE M.D. (NPI 1942413844) is an individual surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301083523) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of University Of North Dakota School Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Derek Thomas Nagle 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.
Medicare Billing Reassignments
6Medicare enrollment records show Derek Nagle reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 15 clinicians in this Medicare group
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 685 clinicians in this Medicare group
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 737 clinicians in this Medicare group
Grand Haven, MI 49417
- Reassigned Medicare billing, Michigan enrollment
- 28 clinicians in this Medicare group
Escanaba, MI 49829
- Reassigned Medicare billing, Michigan enrollment
- 440 clinicians in this Medicare group
Manistique, MI 49854
- Reassigned Medicare billing, Michigan enrollment
- 78 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Health Saint Mary's
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49546
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 Nagle's NPI number?
The NPI number for Derek Nagle is 1942413844. It was assigned to this individual provider in the NPPES registry on May 7, 2007.
Where is Derek Nagle located?
Derek Nagle practices at 2060 E Paris Ave SE Suite 100, Grand Rapids, MI 49546. The listed phone number is (616) 956-6100.
What is Derek Nagle's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Derek Nagle enrolled in Medicare?
Yes. Derek Nagle 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 Derek Nagle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Nagle reassigns Medicare benefits to 6 organizations: Midwest Institute Of Health PC (Grand Rapids, MI), Metropolitan Hospital (Grand Rapids, MI), Advantage Health Saint Mary's Medical Group (Grand Rapids, MI), Noch Physician Billing Company LLC (Grand Haven, MI), Dlp Marquette Physician Practices Inc (Escanaba, MI) and 1 more organization, listed in the Medicare section above. 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 Derek Nagle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Nagle accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Derek Nagle 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 Nagle affiliated with any hospitals?
According to CMS data, Derek Nagle is affiliated with Mercy Health Saint Mary's.
When was this NPI record last updated?
The NPPES record for Derek Nagle was last updated on June 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Derek Thomas Nagle, M.D. · NPI 1942413844
Surgery physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since May 7, 2007.
## Identity
- **NPI:** 1942413844 (Entity type: Individual)
- **Enumerated:** May 7, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 4301083523 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2060 E PARIS AVE SE, SUITE 100, Grand Rapids, MI 49546-6113
- **Phone:** (616) 956-6100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Midwest Institute Of Health PC (NPI 1013166222, Grand Rapids, MI); Metropolitan Hospital (NPI 1720590961, Grand Rapids, MI); Advantage Health Saint Mary's Medical Group (NPI 1952340911, Grand Rapids, MI); Noch Physician Billing Company LLC (NPI 1972550580, Grand Haven, MI); Dlp Marquette Physician Practices Inc (NPI 1538415021, Escanaba, MI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Dakota School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** June 9, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1942413844) · Data from the CMS NPPES public registry.