NPIMap

Individual provider Active NPI

Derek Paul Wille, MD

  • Family Medicine Physician
  • Cody, WY
National Provider Identifier
1649629965
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MED-PHYS-LIC-70732 Issued in MT
Practice address
201 Yellowstone Ave
Cody, WY 82414-9313
Phone
(307) 527-7561
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 10

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 13

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

View all 13

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings Clinic 814 clinicians

Practice addresses (Care Compare)

201 Yellowstone Ave
Cody, WY 82414-9313
Phone (307) 527-7561

Hospital & facility affiliations

  • Cody Regional Health Home Health Home health agency, Cody, WY, CCN 537031
  • Cody Regional Health Spirit Mountain Hospice Hospice, Cody, WY, CCN 531505
  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • Cody Regional Health Hospital, Cody, WY, CCN 531312
  • Powell Valley Hospital Hospital, Powell, WY, CCN 531310

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.68
Promoting interoperability
100
Improvement activities
40
Cost
70.14

Merit-based Incentive Payment System (MIPS)

Final score
87.02 of 100Reported as apm
Quality
71.3
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.79 of 100Reported as group
Quality
72.82
Promoting interoperability
100
Improvement activities
40
Cost
63.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions53
Removal or shaving of skin growth1-10
Skin biopsy1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20190612002459 MT Practitioner - Family Practice 1052682846 Reassigns benefits to 1 organization
I20190612002568 WY Practitioner - Family Practice 1052682846 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-70732MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Family Medicine CurrentSince Apr 21, 2019 Accepting new patients
Powell Valley Health Care Inc CurrentSince Mar 16, 2023 Accepting new patients
Billings Clinic Family Medicine CurrentSince Apr 21, 2019 Accepting new patients
Powell Valley Healthcare Inc Family Medicine CurrentSince Mar 16, 2023 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Jul 1, 2019 Accepting new patients
Billings Clinic Current Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

201 Yellowstone Ave
Cody, WY 82414
Phone (307) 527-7561

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MED-PHYS-LIC-70732 MT Primary

Addresses

NPPES NPI Registry

Primary practice location

201 Yellowstone Ave
Cody, WY 82414-9313

Mailing address

PO Box 35100
Billings, MT 59107-5100
Phone (406) 238-2500

Other practice location 1

4403 Harrison Blvd
Suite A-700
Ogden, UT 84403-3271
Phone (801) 387-5300

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address dwille@billingsclinic.cernerdirect.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2022.

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1649629965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35100",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591075100",
            "telephone_number": "406-238-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 YELLOWSTONE AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149313",
            "telephone_number": "307-527-7561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4403 Harrison Blvd",
            "address_2": "Suite A-700",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844033271",
            "country_code": "US",
            "telephone_number": "801-387-5300",
            "fax_number": "801-387-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLE",
        "first_name": "DEREK",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-70732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwille@billingsclinic.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "201 Yellowstone Ave",
            "city": "Cody",
            "state": "WY",
            "country_code": "US",
            "postal_code": "824149313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.