DR. DEREK R GOODYEAR (D.O.) – Hospitalist Physician, NPI 1144632274

DR. DEREK R GOODYEAR (D.O.) is a healthcare provider. based in Aurora, Colorado. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. DR.0063620 (CO). The NPI Number for DR. DEREK R GOODYEAR (D.O.) is 1144632274

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK R GOODYEAR (D.O.)
NPI
1144632274
Phone
(303) 338-4545
Address
2500 S HAVANA ST
Enumeration Date
23 May 2014
Last Update Date
27 April 2021

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
3033384545
Graduation Year
2014 (12 years ago)
PAC ID
7618270455
Group Practice PAC ID
1254238454
Professional Enrollment ID
I20200227000275
Address ID
CO800263370LA200XXCIRC351

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:12State licenses:3Other namesUpdated within 12 months

7,199 INTERNAL MEDICINE in OH

Provider Addresses for DR. DEREK R GOODYEAR (D.O.)

  • 2500 S HAVANA ST

    AURORA, CO 800141618

    Phone: (303) 338-4545

    Type: Mailing

  • 425 W Fifth St

    East Liverpool, OH 439202405

    Phone: (330) 386-2793

    Fax: (330) 386-2790

    Type: Location

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone:

    Type: Mailing

  • 200 EXEMPLA CIR

    LAFAYETTE, CO 800263370

    Phone: (303) 338-4545

    Type: Location

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: 2020-02-27

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
I20200227000275IInternal MedicineCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80014)

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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: 1254238454View full group profile
NameSpecialtyState
Nurse PractitionerCO
-CO
Physical Therapist In Private PracticeCO
-CO
-CO
-CO
Cardiovascular Disease (Cardiology)CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Family PracticeCO

Reviews

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Frequently asked questions

Is DR. DEREK R GOODYEAR (D.O.) listed with a National Provider Identifier?
Yes — DR. DEREK R GOODYEAR (D.O.) has NPI 1144632274 on file in the registry.
Is DR. DEREK R GOODYEAR (D.O.) still an active registrant?
DR. DEREK R GOODYEAR (D.O.) carries an active NPI according to the public dataset.
How would a patient describe DR. DEREK R GOODYEAR (D.O.)'s focus?
For DR. DEREK R GOODYEAR (D.O.), the primary taxonomy reads as Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is DR. DEREK R GOODYEAR (D.O.) associated with Aurora?
Public fields place DR. DEREK R GOODYEAR (D.O.) around Aurora, Colorado. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. DEREK R GOODYEAR (D.O.) is noted as May 23, 2014 where the registry provides it.

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