DR. DEREK SAMUEL WEAVER DO
NPI 1962660704
Family Medicine in Sunnyside, WA

Q: What is Derek Weaver's NPI number?

The NPI number for Derek Weaver is 1962660704. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Q: What is Derek Weaver's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Weaver was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 29, 2008PECOS EnrolledAccepts Medicare Assignment

88.39/100

CMS Quality Rating

2935 ALLEN RD, SUNNYSIDE, WA 98944(509) 837-0070(509) 837-0690 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 15, 2026, Nov 17, 2022, Feb 19, 2018 (3 updates tracked since 2018).

On this page

About Dr. Derek Samuel Weaver Do NPPES

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

DR. DEREK SAMUEL WEAVER DO (NPI 1962660704) is an individual family medicine provider in Sunnyside, Washington, licensed in Washington (OP60139736) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Prosser Memorial Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2007).

NPPES Registry Identity

NPI1962660704

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DEREK SAMUEL WEAVERCredential: DO

Location Address2935 ALLEN RDSunnyside, WA 98944-8931

Mailing Address2935 Allen RdSunnyside, WA 98944-8931 · (509) 837-0070 · Fax (509) 837-0690

Phone(509) 837-0070

Fax(509) 837-0690

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2007

Enumeration DateMay 29, 2008

Last NPPES UpdateApril 15, 20263 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1962660704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · OP60139736

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2935 ALLEN RD, Sunnyside, WA 98944

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Other Identifiers 1

Medicaid1962660704WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 Samuel Weaver 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 ID8325220098

PECOS Enrollment IDI20150617000232

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

Derek S Weaver Do PLLC

Same address

Family Medicine

2935 ALLEN RD
Sunnyside, WA 98944

Reassigned Medicare billing, Washington enrollment
5 clinicians in this Medicare group

NPI 1982081485 (509) 837-0070

Prosser Public Hospital District Of Benton County

4.1 mi

Rural Health

1003 WALLACE WAY
Grandview, WA 98930

Reassigned Medicare billing, Washington enrollment
232 clinicians in this Medicare group

NPI 1376026237 (509) 786-1576

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.

Prosser Memorial Hospital

Critical Access Hospitals · Prosser, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501312

Location723 Memorial StreetProsser, WA 99350 · Benton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98944 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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.

88.39/100

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

Scored as part of a group practice

Quality

89.25

Promoting Interoperability

Improvement Activities

Reported Quality Measures

e-Prescribing

97%382 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

95%553 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers11 claims29 services$6.46 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$5.63 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

1 supplier11 claims11 services$88.80 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$34.25 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 11

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

MR. PAUL RODNEY FURAN PA-C

Physician Assistant