Individual provider Active NPI

Derek Harper, DPM

  • Foot & Ankle Surgery Podiatrist
  • Burley, ID
National Provider Identifier
1851723332
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD.0000781 Issued in CO
Practice address
260 E 5TH St N
Burley, ID 83318-3453
Phone
(208) 678-9760
Fax
(208) 678-9758
NPI assigned
Aug 6, 2013
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X T1344 NM
Foot & Ankle Surgery Podiatrist 213ES0103X 7861478 ID
Foot & Ankle Surgery Podiatrist 213ES0103X POD.0000781 CO Primary

Addresses

Primary practice location

260 E 5TH St N
Burley, ID 83318-3453

Mailing address

1224 8TH St
Rupert, ID 83350-1599
Phone (208) 434-8236

Other practice location 1

1224 8th St
Rupert, ID 83350-1599
Phone (208) 436-0481

Other practice location 2

785 Russell St
Craig, CO 81625-2019
Phone (970) 826-2400

Other practice location 3

1169 Hilltop Pkwy
Steamboat Springs, CO 80487-3173
Phone (970) 875-0443

Other identifiers 3

IdentifierTypeStateIssuer
7861478OtherIDIDAHO PODIATRY LICENSE
T-1344OtherNMNEW MEXICO TEMPORARY LICENSE
POD.0000781OtherCOCOLORADO LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228000339 ID Practitioner - Podiatry 9335421023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minidoka Memorial HospitalGroup PAC ID 7315908894, 38 clinicians

Practice addresses (Care Compare)

1224 8TH St
Rupert, ID 83350-1527
Phone 20843604813167

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.89 of 100Reported as apm
Quality
86.88
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue42
Removal or shaving of skin growth18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7861478IDMDFoot & Ankle Surgery Podiatrist
T1344NMMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Minidoka Memorial Hospital CurrentSince Feb 17, 2025 Accepting new patients
Minidoka Memorial Hospital CurrentSince Feb 17, 2025 Accepting new patients
Minidoka Memorial Hospital Orthopaedic Surgery PastSince Mar 11, 2025 Accepting new patients

Locations

260 E 5th N
Burley, ID 83318
Phone (208) 678-9760

1224 8th St
Rupert, ID 83350
Phone (208) 434-8236

1308 8th St
Ste 1
Rupert, ID 83350
Phone (208) 436-4322

Organizations & group practices 3

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 1

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": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1851723332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 8TH ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501599",
            "telephone_number": "208-434-8236",
            "fax_number": "208-436-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E 5TH ST N",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833183453",
            "telephone_number": "208-678-9760",
            "fax_number": "208-678-9758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 8th St",
            "address_purpose": "LOCATION",
            "city": "Rupert",
            "state": "ID",
            "postal_code": "833501599",
            "country_code": "US",
            "telephone_number": "208-436-0481",
            "fax_number": "208-436-6038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "785 Russell St",
            "address_purpose": "LOCATION",
            "city": "Craig",
            "state": "CO",
            "postal_code": "816252019",
            "country_code": "US",
            "telephone_number": "970-826-2400",
            "fax_number": "970-826-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1169 Hilltop Pkwy",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804873173",
            "country_code": "US",
            "telephone_number": "970-875-0443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARPER",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "T1344",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ID",
            "license": "7861478",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO PODIATRY LICENSE",
            "identifier": "7861478",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO TEMPORARY LICENSE",
            "identifier": "T-1344",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "POD.0000781",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burley, ID

Sources for this page

Verify at the official NPI Registry.