DEREK E PYNE (DO) – Family Medicine Physician, NPI 1184116873
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
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Provider Addresses for DEREK E PYNE (DO)
2513 MOMENTUM PL
CHICAGO, IL 606890001
Phone: (231) 935-6080
Fax: (231) 935-6081
Type: Mailing
Munson Healthcare Cadillac Hospital, 400, Hobart Street, Cadillac, Wexford County, Michigan, 49601, United States
CADILLAC, MI 496012331
Phone: (231) 876-7476
Fax: (231) 876-6121
Type: Location
550 Munson Ave
Traverse City, MI 49686
Phone: (231) 935-8686
Fax: (231) 935-8708
Type: Location
400 Hobart St
Cadillac, MI 496012331
Phone: (231) 876-7476
Fax: (231) 876-6121
Type: Location
1105 Sixth St
Traverse City, MI 496842345
Phone: (231) 935-5000
Type: Location
3074 N US 31 S
TRAVERSE CITY, MI 496844533
Phone: (231) 929-1234
Fax: (231) 935-0984
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $138.
Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.
Last reported payment date: 2023-06-08 • Largest payer in this snapshot: ABBVIE INC. ($58).
Total Amount
$138
General + Research + Ownership
Payments
8
Total payment records
General Amount
$138
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-08
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-05-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200528000236 | I | Family Practice | MI | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 112 | 112 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 105 | 101 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 55 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 28 | 28 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 23 | 20 | $0 |
Insurance plans in this area (ZIP 60689)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Internal Medicine | MI | |
| Internal Medicine, Pediatric Medicine | MI | |
| Internal Medicine, Pediatric Medicine | MI | |
| Internal Medicine, Pediatric Medicine | MI | |
| Internal Medicine, Pediatric Medicine | MI | |
| Internal Medicine, Pediatric Medicine | MI |
Reviews
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