DR. DEREK M CHILDERS (MD) – Internal Medicine Physician, NPI 1225659014

DR. DEREK M CHILDERS (MD) is a healthcare provider. based in Jonesboro, Arkansas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. E-16670 (AR). The NPI Number for DR. DEREK M CHILDERS (MD) is 1225659014

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK M CHILDERS (MD)
NPI
1225659014
Phone
(870) 910-7799
Address
300 CARSON ST
Enumeration Date
3 May 2020
Last Update Date
31 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4795531000
Graduation Year
2018 (8 years ago)
PAC ID
5092178723
Group Practice PAC ID
1052759263
Professional Enrollment ID
I20230829002702
Address ID
AR727123217BE3000XPKWY400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,274 INTERNAL MEDICINE in AR

Provider Addresses for DR. DEREK M CHILDERS (MD)

  • 300 CARSON ST

    JONESBORO, AR 724013104

    Phone: (870) 910-7799

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230829002702IInternal MedicineARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13658$0
99239Hospital discharge day management, more than 30 minutes5150$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 72401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052759263View full group profile
NameSpecialtyState
Emergency MedicineOH
Internal MedicineAR
Emergency MedicineTX
Nurse PractitionerAR
Internal Medicine, Family Practice, Emergency MedicineAR
Emergency MedicineTN
Family Practice, Emergency MedicineAR
Internal Medicine, Family PracticeMO
Nurse PractitionerAR
Family Practice, Emergency Medicine, Obstetrics/GynecologyTX

Reviews

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Frequently asked questions

How do payers reference DR. DEREK M CHILDERS (MD)?
For DR. DEREK M CHILDERS (MD), use NPI 1225659014 as the unique 10-digit identifier.
Is DR. DEREK M CHILDERS (MD) still an active registrant?
DR. DEREK M CHILDERS (MD) carries an active NPI according to the public dataset.
What expertise is attributed to DR. DEREK M CHILDERS (MD)?
DR. DEREK M CHILDERS (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Arkansas is DR. DEREK M CHILDERS (MD) registered?
Use Jonesboro, Arkansas as the headline location for DR. DEREK M CHILDERS (MD) here.
Does DR. DEREK M CHILDERS (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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