MR. LAITH DERBAS (MD) – Interventional Cardiology Physician, NPI 1790131779
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
614 INTERVENTIONAL CARDIOLOGY in FL
Provider Addresses for MR. LAITH DERBAS (MD)
1055 SAXON BLVD
ORANGE CITY, FL 327638468
Phone: (386) 917-5000
Type: Location
770 W GRANADA BLVD STE 101
ORMOND BEACH, FL 321745179
Phone:
Type: Mailing
Truman Medical Center, Hospital Hill, 2301, Holmes Street, Hospital Hill, Kansas City, Jackson County, Missouri, 64108, United States
KANSAS CITY, MO 64108
Phone: (816) 404-4175
Fax: (816) 404-9480
Type: Mailing
1717 W CONGRESS PKWY STE 317
CHICAGO, IL 606123809
Phone:
Type: Mailing
West Congress Parkway, East Garfield Park, Chicago, Cook County, Illinois, 60644, United States
CHICAGO, IL 606123809
Phone: (312) 259-8005
Fax: (312) 942-6334
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $5,859.
Total Amount is formed as General ($5,859) + Research ($0) + Ownership ($0) = $5,859.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Boston Scientific Corporation ($2,167).
Total Amount
$5,859
General + Research + Ownership
Payments
65
Total payment records
General Amount
$5,859
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $2,167 |
| Edwards Lifesciences Corporation | $1,040 |
| ABIOMED | $1,013 |
| Abbott Laboratories | $215 |
| Penumbra, Inc. | $185 |
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: 2025-07-22
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 |
|---|---|---|---|---|
| I20240801000106 | I | Interventional Cardiology | IL | TBD |
| I20250722001444 | I | Interventional Cardiology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32763)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| U R O L O G Y | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Thoracic Surgery | FL | |
| Internal Medicine, Nephrology | PA | |
| Nurse Practitioner | GA | |
| Internal Medicine | NY | |
| General Surgery | FL | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | FL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | FL |
Reviews
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