DR. WISSAM DERIAN (MD) – Cardiovascular Disease Physician, NPI 1063684066

Cardiovascular Disease Physician

DR. WISSAM DERIAN (MD) is a healthcare provider. based in Quincy, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 036113096 (IL). The NPI Number for DR. WISSAM DERIAN (MD) is 1063684066

Main info

Male

25 Years Of Experience

Accepts Medicare Assignment

Name

DR. WISSAM DERIAN (MD)

NPI

1063684066

Phone

(217) 222-6550

Address

1025 MAINE ST

Enumeration Date

31 March 2008

Last Update Date

8 February 2010

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

2001 (25 years ago)

PAC ID

9234204082

Group Practice PAC ID

0749192375

Professional Enrollment ID

I20080813000839

Address ID

IL623014096QU1025XSTXX300

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience50

Completeness75

Years active:18State licenses:1Digital endpointsOther names

1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL

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Provider Addresses for DR. WISSAM DERIAN (MD)

1025, Maine Street, Quincy, Adams County, Illinois, 62301, United States
QUINCY, IL 623014038
Phone: (217) 222-6550
Fax: (217) 277-2253
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)

CMS reports 183 Open Payments records for all available years, with a total value of $3,286.

Total Amount is formed as General ($3,286) + Research ($0) + Ownership ($0) = $3,286.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($423).

Total Amount

$3,286

General + Research + Ownership

Payments

183

Total payment records

General Amount

$3,286

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$423
Merck Sharp & Dohme LLC	$395
Boston Scientific Corporation	$303
Novartis Pharmaceuticals Corporation	$208
Amgen Inc.	$181

View all Open Payments →|Open Payments Risk Radar →

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: 2024-12-18

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

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
I20080813000839	I	Cardiovascular Disease (Cardiology)	IL	TBD
I20241218000470	I	Cardiovascular Disease (Cardiology)	MO	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	1,038	1,019	$0
99213	Established patient office or other outpatient visit, 20-29 minutes	972	863	$0
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	830	513	$0
J2785	Injection, regadenoson, 0.1 mg	600	150	$0
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	593	511	$0

View full utilization report →

Insurance plans in this area (ZIP 62301)

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Provider's Procedures

DR. WISSAM DERIAN (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)	IL	78452	Nuclear medicine study of vessels of heart using drugs or exercise multiple studies	245	240
CARDIOVASCULAR DISEASE (CARDIOLOGY)	IL	93010	Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report	65	65
CARDIOVASCULAR DISEASE (CARDIOLOGY)	IL	93458	Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart	128	128

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: 0749192375View full group profile

Name	Specialty	State
BRANDI N. RUZICH (PHYSICAL THERAPIST)	-	IL
DR. ERIN MJ SHEFFIELD (D.D.S.)	Oral Surgery	IA
Unknown Individual	-	MO
KENDRA JO CONKRIGHT (M.D.)	Internal Medicine, Pediatric Medicine	IL
KATELYN M. FESSENDEN	Nurse Practitioner	IL
TIMOTHY W. JACOBS (D.O.)	-	IL
CHERYL KRUS	Mental Health Counselor	IL
Unknown Individual	-	IL
MATTHEW T. BRINK (DO)	Family Practice	IL
ELIZABETH TERWELP (PA-C)	Physician Assistant	IL

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Frequently asked questions

Is there an official ID for DR. WISSAM DERIAN (MD) in U.S. healthcare records?

The official identifier for DR. WISSAM DERIAN (MD) is NPI 1063684066.

Would DR. WISSAM DERIAN (MD) appear as active to a payer?

You can treat DR. WISSAM DERIAN (MD) as active for directory purposes; confirm clinical privileges separately.

How would a patient describe DR. WISSAM DERIAN (MD)'s focus?

For DR. WISSAM DERIAN (MD), the primary taxonomy reads as Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.

Where in Illinois is DR. WISSAM DERIAN (MD) registered?

Use Quincy, Illinois as the headline location for DR. WISSAM DERIAN (MD) here.

When was this NPI issued?

Enumeration for DR. WISSAM DERIAN (MD) is noted as March 31, 2008 where the registry provides it.