DEREK PRABHARASUTH (MD) – Urology Physician, NPI 1164846986
Urology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
897 UROLOGY in FL
Provider Addresses for DEREK PRABHARASUTH (MD)
11760 SW 40TH ST STE 403
MIAMI, FL 331753595
Phone: (305) 226-2020
Fax: (305) 226-2018
Type: Mailing
11760 SW 40th St Ste 403
Miami, FL 331753595
Phone: (305) 226-2020
Fax: (305) 226-2018
Type: Location
5165 MCCARTY LN
LAFAYETTE, IN 479058764
Phone: (765) 448-8000
Fax: (765) 838-4758
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 68 Open Payments records for all available years, with a total value of $1,543.
Total Amount is formed as General ($1,543) + Research ($0) + Ownership ($0) = $1,543.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($354).
Total Amount
$1,543
General + Research + Ownership
Payments
68
Total payment records
General Amount
$1,543
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $354 |
| Myriad Genetic Laboratories, Inc. | $194 |
| Teleflex LLC | $164 |
| PFIZER INC. | $108 |
| Janssen Biotech, Inc. | $66 |
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: 2020-04-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141010000981 | I | Urology | CA | TBD |
| I20200406000639 | I | Urology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 74 | 67 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 47 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 23 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 33175)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | GA | 51798 | Ultrasound measurement of bladder capacity after voiding | 121 | 83 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Hematology/Oncology, Internal Medicine | FL | |
| - | GA | |
| Orthopedic Surgery | FL | |
| General Surgery | NY |
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