DERRICK L. HASENOUR (MD) – Family Medicine Physician, NPI 1295997450
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,861 FAMILY PRACTICE in IN
Provider Addresses for DERRICK L. HASENOUR (MD)
1520 N Senate Ave
Indianapolis, IN 46202
Phone: (317) 962-8893
Fax: (317) 962-1048
Type: Location
Trafalgar Square, St. James's, Covent Garden, Westminster, London, Greater London, England, WC2, United Kingdom
TRAFALGAR, IN 461819515
Phone: (317) 412-9190
Fax: (317) 878-2302
Type: Mailing
North Milford Drive, Franklin, Johnson County, Indiana, 46131, United States
FRANKLIN, IN 461317308
Phone: (317) 739-4848
Fax: (317) 346-4062
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $1,160.
Total Amount is formed as General ($1,160) + Research ($0) + Ownership ($0) = $1,160.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Lilly USA, LLC ($192).
Total Amount
$1,160
General + Research + Ownership
Payments
70
Total payment records
General Amount
$1,160
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $192 |
| Novo Nordisk Inc | $134 |
| Novartis Pharmaceuticals Corporation | $68 |
| ABBVIE INC. | $64 |
| Merck Sharp & Dohme LLC | $53 |
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: 2012-06-06
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 |
|---|---|---|---|---|
| I20120606000015 | I | Family Practice | IN | 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 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Internal Medicine | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| Mental Health Counselor | IN | |
| Clinical Social Worker | IN | |
| Family Practice | IN |
Reviews
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