Derick Dermatology PLLC

A Medicare group practice based in Tampa, FL: 23 NPIs enrolled under one PECOS associate control ID (PAC ID 1557366796), with 65 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1557366796The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
FL, IL
Enrollments
2
Group size
65 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
27In 25 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20060922000130 IL Part B Supplier - Clinic/Group Practice 1134664402
O20220719002623 FL Part B Supplier - Clinic/Group Practice 1861159675

NPIs in this group 23

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
100 of 100Reported as group, on the record of 4 clinicians in this group
Promoting interoperability
100
Improvement activities
40

Clinicians 65

Clinicians who reassign their Medicare benefits to this group (64) or whom Care Compare lists as members (65).

Sources for this page