DR. NICOLAAS PIET DERUYTER MD
NPI 1972000602
Ophthalmology in Bellevue, WA
About Dr. Nicolaas Piet Deruyter Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLAAS PIET DERUYTER MD (NPI 1972000602) is an individual ophthalmology provider in Bellevue, Washington, licensed in Washington (MD61507714) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and maintains a secondary practice location in Seattle.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Nicolaas Piet Deruyter 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicolaas Deruyter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bellevue, WA 98004
- Reassigned Medicare billing, Washington enrollment
- 22 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.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Swedish Medical Center
Acute Care Hospitals · Seattle, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BELLEVUE, WA 98004
BELLEVUE, WA 98004
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 Nicolaas Deruyter's NPI number?
The NPI number for Nicolaas Deruyter is 1972000602. It was assigned to this individual provider in the NPPES registry on April 9, 2018.
Where is Nicolaas Deruyter located?
Nicolaas Deruyter practices at 1750 112th Ave NE Ste D050, Bellevue, WA 98004. The listed phone number is (206) 215-3850.
What is Nicolaas Deruyter's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Nicolaas Deruyter enrolled in Medicare?
Yes. Nicolaas Deruyter 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 organization bills Medicare for Nicolaas Deruyter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicolaas Deruyter reassigns Medicare benefits to Pacific Northwest Retina PLLC (Bellevue, WA). The 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 Nicolaas Deruyter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicolaas Deruyter accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nicolaas Deruyter 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 Nicolaas Deruyter affiliated with any hospitals?
According to CMS data, Nicolaas Deruyter is affiliated with Swedish Medical Center.
When was this NPI record last updated?
The NPPES record for Nicolaas Deruyter was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Nicolaas Piet Deruyter, MD · NPI 1972000602
Ophthalmology physician in Bellevue, Washington. Individual provider, active in the CMS NPPES registry since April 9, 2018.
## Identity
- **NPI:** 1972000602 (Entity type: Individual)
- **Enumerated:** April 9, 2018
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** MD61507714 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1750 112TH AVE NE STE D050, Bellevue, WA 98004-3779
- **Phone:** (206) 215-3850 · **Fax:** (206) 215-3870
## 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:** Pacific Northwest Retina PLLC (NPI 1558940387, Bellevue, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** February 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972000602) · Data from the CMS NPPES public registry.