Individual provider Active NPI

Derrick Andrew Dupre, M.D.

  • Neurological Surgery Physician
  • Pensacola, FL
National Provider Identifier
1528497948
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME143281 Issued in FL
Practice address
123 Baptist Way
Pensacola, FL 32503-2254
Phone
(448) 227-8478
Fax
(448) 227-2100
NPI assigned
Nov 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME143281 FL Primary

Addresses

Primary practice location

123 Baptist Way
Pensacola, FL 32503-2254

Mailing address

PO Box 95590
South Jordan, UT 84095-0590
Phone (801) 784-0954

Other practice location 1

5083 Little Road
New Port Richey, FL 34653
Phone (727) 494-7573

Other identifiers 1

IdentifierTypeStateIssuer
14250959OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180523000143 PA Practitioner - Neurosurgery 6709166085 Reassigns benefits to 1 organization
I20201210002943 FL Practitioner - Neurosurgery 6709166085 Reassigns benefits to 2 organizations
I20260504006997 TX Practitioner - Neurosurgery 6709166085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Texas Tech University Health Science Center School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurepair Brain and Spine Wellness Centers PAGroup PAC ID 6103238449, 3 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

5083 Little Rd
Trinity, FL 34655-1326
Phone (727) 494-7573

5347 Main St
New Port Richey, FL 34652-2520
Phone (727) 841-0515

Hospital & facility affiliations

  • Pinnacle Home Care Inc Home health agency, Trinity, FL, CCN 107797
  • Medical Services of America Home Health Home health agency, Clearwater, FL, CCN 107787
  • Pinnacle Home Care of Spring Hill Inc Home health agency, Spring Hill, FL, CCN 108068
  • HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191
  • HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion141
Laminectomy or laminotomy (partial removal of spine bones)44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME143281FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurepair Brain and Spine Wellness Centers PA Neurological Surgery CurrentSince Nov 3, 2020 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Neurological Surgery CurrentSince Jul 1, 2018 Accepting new patients
Iheal Wound Centers LLC CurrentSince May 14, 2026 Accepting new patients
Allegheny Clinic CurrentSince Jul 1, 2018 Accepting new patients
Gulf Coast Surgical Suites, LLC PastSince Feb 6, 2023 Accepting new patients

Locations

8140 Picton Way
Ste 102
Trinity, FL 34655
Phone (727) 494-7573

5083 Little Rd
Trinity, FL 34655
Phone (727) 494-7573

1001 9th Ave
Brackenridge, PA 15014

1910 Sassafras St
Ste 300
Erie, PA 16502
Phone (814) 452-7246

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

Organizations & group practices 8

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

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1528497948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950590",
            "telephone_number": "801-784-0954",
            "fax_number": "801-352-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BAPTIST WAY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032254",
            "telephone_number": "448-227-8478",
            "fax_number": "448-227-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5083 LITTLE ROAD",
            "address_purpose": "LOCATION",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34653",
            "country_code": "US",
            "telephone_number": "727-494-7573",
            "fax_number": "727-232-2820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPRE",
        "first_name": "DERRICK",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME143281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14250959",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.