DR. MARVIN J. DERRICK (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1497855886

DR. MARVIN J. DERRICK (M.D.) is a healthcare provider. based in Urbana, Illinois. specializing in CARDIAC SURGERY, THORACIC SURGERY. They hold the professional credentials M.D.. They hold a License No. G47855 (CA). The NPI Number for DR. MARVIN J. DERRICK (M.D.) is 1497855886

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARVIN J. DERRICK (M.D.)
NPI
1497855886
Phone
Not provided
Address
611 W PARK ST
Enumeration Date
25 September 2006
Last Update Date
6 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096630222
Graduation Year
1981 (45 years ago)
PAC ID
2062421399
Group Practice PAC ID
8921420308
Professional Enrollment ID
I20090622000020
Address ID
IL617043567BL2204XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

131 CARDIAC SURGERY in IL

Provider Addresses for DR. MARVIN J. DERRICK (M.D.)

  • 611 W PARK ST

    URBANA, IL 618012529

    Phone:

    Type: Mailing

  • Decatur Memorial Hospital, 2300, North Edward Street, Old King's Orchard, Decatur, Macon County, Illinois, 62526, United States

    GSBLL

    DECATUR, IL 625264163

    Phone: (217) 876-2857

    Fax: (217) 876-2874

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $2,120.

Total Amount is formed as General ($2,120) + Research ($0) + Ownership ($0) = $2,120.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($1,296).

Total Amount

$2,120

General + Research + Ownership

Payments

11

Total payment records

General Amount

$2,120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

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: 2023-02-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090622000020ICardiac SurgeryILTBD
I20230201002884ICardiac SurgeryPATBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3837$0
99203New patient office or other outpatient visit, 30-44 minutes3838$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2417$0
99212Established patient office or other outpatient visit, 10-19 minutes2117$0
33508Harvest of vein using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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Provider's Procedures

DR. MARVIN J. DERRICK (M.D.) performs procedures in CARDIAC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC SURGERYIL31622Diagnostic examination of lung airways using an endoscope2525
CARDIAC SURGERYIL33518Combined multiple vein and artery heart artery bypasses1212

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: 8921420308View full group profile
NameSpecialtyState
Nurse PractitionerIL
Clinical PsychologistIL
Hospitalist, Family PracticeTX
Clinical PsychologistIL
Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology)IL
-IL
Diagnostic RadiologyIL
Physician AssistantIL
Physician AssistantIL

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Frequently asked questions

How is DR. MARVIN J. DERRICK (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MARVIN J. DERRICK (M.D.) with NPI 1497855886.
Does the file indicate DR. MARVIN J. DERRICK (M.D.) is practicing under active NPI?
Directory data currently reports DR. MARVIN J. DERRICK (M.D.) as active.
What is DR. MARVIN J. DERRICK (M.D.) best known for clinically?
Directory data describes DR. MARVIN J. DERRICK (M.D.) with Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
What area does DR. MARVIN J. DERRICK (M.D.) serve?
DR. MARVIN J. DERRICK (M.D.)'s listing highlights Urbana, Illinois; more addresses can appear in NPPES.
Is the information about DR. MARVIN J. DERRICK (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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