Individual provider Active NPI

Joseph Derbyshire, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Zephyrhills, FL
National Provider Identifier
1801243118
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
OS17901 Issued in FL
Practice address
6310 Fort King Rd
Zephyrhills, FL 33542-2531
Phone
(813) 406-4400
Fax
(813) 929-6633
NPI assigned
May 17, 2016
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X OS17901 FL Primary

Addresses

Primary practice location

6310 Fort King Rd
Zephyrhills, FL 33542-2531

Mailing address

27516 Cashford Cir Ste 101
Wesley Chapel, FL 33544-6910
Phone (813) 406-4400

Other practice location 1

27516 Cashford Cir Ste 101
Wesley Chapel, FL 33544-6910
Phone (813) 406-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20210719000359 FL Practitioner - Otolaryngology 6507151552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Lincoln Memorial University Medical Department, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Vitale Institute, P.L.Group PAC ID 8022242221, 4 clinicians

Practice addresses (Care Compare)

27516 Cashford Cir
Suite 101
Wesley Chapel, FL 33544-6910
Phone (813) 406-4400

6719 Gall Blvd
Suite 107
Zephyrhills, FL 33542-2568
Phone (813) 782-4113

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.24 of 100Reported as individual
Quality
80.98
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue69
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitale Institute, PL Otolaryngology/Facial Plastic Surgery CurrentSince Aug 1, 2021 Accepting new patients

Locations

27516 Cashford Cir
#101
Wesley Chapel, FL 33544
Phone (813) 406-4400

27516 Cashford Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 406-4400

6310 Fort King Rd
Zephyrhills, FL 33542
Phone (813) 406-4400

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7757/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joseph.derbyshire.1@7757.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1801243118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27516 CASHFORD CIR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446910",
            "telephone_number": "813-406-4400",
            "fax_number": "813-929-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 FORT KING RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422531",
            "telephone_number": "813-406-4400",
            "fax_number": "813-929-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27516 Cashford Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446910",
            "country_code": "US",
            "telephone_number": "813-406-4400",
            "fax_number": "813-929-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERBYSHIRE",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "FL",
            "license": "OS17901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.