Derek John Feussner, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

LL38558 Issued in SC

Practice address

2073 Charlie Hall Blvd
Charleston, SC 29414

Phone

(843) 571-0643

Fax

(843) 571-0311

NPI assigned

May 10, 2012

Last updated

May 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

GastroenterologyAlso: Internal Medicine

Education

Medical University of South Carolina College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmetto Digestive Disease PAGroup PAC ID 7719978444, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
• Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
• Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
• Roper Hospital Hospital, Charleston, SC, CCN 420087
• Novant Health East Cooper Medical Center Hospital, Mount Pleasant, SC, CCN 420089

Merit-based Incentive Payment System (MIPS)

Final score

93.66 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

78.87

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Palmetto Digestive Disease PA

  • Specialist
  • Charleston, SC
  • NPI 1922057843
  Medicare reassignment Care Compare group NPD
• Palmetto Endoscopy Center - Mt Pleasant LLC

  • Ambulatory Surgical Clinic/Center
  • Mount Pleasant, SC
  • NPI 1861073371
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bon Secours St. Francis Xavier Hospital Inc.

  dba Roper St. Francis Intensivist Services

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1851361778
  Care Compare affiliation
• East Cooper Medical Center LLC

  dba Novant Health East Cooper Medical Center

  • General Acute Care Hospital
  • Mount Pleasant, SC
  • NPI 1841069044
  Care Compare affiliation
• Roper Hospital, Inc

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1962472860
  Care Compare affiliation
• Roper St Francis Hospital-Berkeley Inc.

  dba Roper St. Francis Intensivist Services

  • General Acute Care Hospital
  • Summerville, SC
  • NPI 1336603646
  Care Compare affiliation
• Roper St. Francis Mount Pleasant Hospital

  dba Mount Pleasant Hospital

  • General Acute Care Hospital
  • Mount Pleasant, SC
  • NPI 1255645644
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1396004479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-571-0643",
            "fax_number": "843-571-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29414",
            "telephone_number": "843-571-0643",
            "fax_number": "843-571-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Ashley Ave",
            "address_2": "MSC333 202 Main Hospital",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294253504",
            "country_code": "US",
            "telephone_number": "843-792-2575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEUSSNER",
        "first_name": "DEREK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "LL38558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdd@directaddress.net",
            "affiliation": "N",
            "address_1": "2073 Charlie Hall Blvd",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fetter Health Care Network, Inc. (Fetter Mobile Medical Unit 3)
• Fetter Health Care Network, Inc. (Fetter Health Pharmacy-Charleston)
• Fetter Health Care Network, Inc. (Fetter Mobile Outreach Vehicle)
• Fetter Health Care Network, Inc. (Mughelli - Oyibokja Wellness Center for Women)
• Fetter Health Care Network, Inc. (One 80 Place)
• John R Feussner, MD
• Kellie Few Dupree
• Taylor Fewox, PHARMD
• Lisa M Fickle, LPC
• Ava J Fiddle, LISW-CP

• Gastroenterology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Gastroenterology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.