DERRICK M BROWN – Physician Assistant, NPI 1366671802

DERRICK M BROWN is a healthcare provider. based in Westmont, Illinois. specializing in PHYSICIAN ASSISTANT. They hold a License No. 085003482 (IL). The NPI Number for DERRICK M BROWN is 1366671802

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DERRICK M BROWN
NPI
1366671802
Phone
(630) 323-6116
Address
1010 EXECUTIVE COURT
Enumeration Date
6 July 2009
Last Update Date
24 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888240200
Graduation Year
2009 (17 years ago)
PAC ID
2062564446
Group Practice PAC ID
7719899426
Professional Enrollment ID
I20090715000691
Address ID
IL606371443CH5841XAVEX400

Contacts

Secure Messaging
dbrownpa43568@uchospital.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for DERRICK M BROWN

  • 1010 EXECUTIVE COURT

    SUITE 250

    WESTMONT, IL 60559

    Phone: (630) 323-6116

    Fax: (630) 323-5610

    Type: Mailing

  • 150 HARVESTER DR

    SUITE 300

    BURR RIDGE, IL 605275919

    Phone:

    Type: Mailing

  • 5841 S MARYLAND AVE

    CHICAGO, IL 606371443

    Phone: (888) 824-0200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $2,775.

Total Amount is formed as General ($2,775) + Research ($0) + Ownership ($0) = $2,775.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Stryker Corporation ($2,653).

Total Amount

$2,775

General + Research + Ownership

Payments

28

Total payment records

General Amount

$2,775

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-07-15

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
I20090715000691IPhysician AssistantILTBD

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
20610Aspiration and/or injection of fluid from large joint8742$0
99213Established patient office or other outpatient visit, 20-29 minutes6153$0
27447Replacement of knee joint, both sides of knee3332$0
27130Replacement of thigh bone and hip joint with prosthesis1817$0
View full utilization report →

Insurance plans in this area (ZIP 60559)

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Provider's Procedures

DERRICK M BROWN performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTIL20610Aspiration and/or injection of large joint or joint capsule6640

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: 7719899426View full group profile
NameSpecialtyState
Emergency MedicineIL
N E U R O L O G YIL
General SurgeryIN
Pediatric Medicine, Emergency MedicineIL
-IL
-IL
Cardiovascular Disease (Cardiology)IL
-IL
Nurse PractitionerMI
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

What NPI should I save for DERRICK M BROWN?
Save NPI 1366671802 if you need a stable reference for DERRICK M BROWN.
Does this profile mean DERRICK M BROWN is currently active?
Yes — DERRICK M BROWN appears active in the national provider directory.
What does DERRICK M BROWN treat or focus on?
Patients typically see DERRICK M BROWN under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does DERRICK M BROWN practice in Illinois?
You will see Westmont, Illinois on file for DERRICK M BROWN alongside any extra practice locations.
How can I contact DERRICK M BROWN?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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