DEREK BAST (DO) – Family Medicine Physician, NPI 1437612272
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
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Provider Addresses for DEREK BAST (DO)
250, East Stop 11 Road, Lindenwood, Indianapolis, Indiana, 46227, United States
INDIANAPOLIS, IN 462376399
Phone: (317) 528-8921
Fax: (317) 528-6916
Type: Mailing
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
426 S ALABAMA ST STE 100
INDIANAPOLIS, IN 462253301
Phone: (317) 528-2489
Fax: (317) 528-3770
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $428.
Total Amount is formed as General ($428) + Research ($0) + Ownership ($0) = $428.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Amarin Pharma Inc. ($123).
Total Amount
$428
General + Research + Ownership
Payments
18
Total payment records
General Amount
$428
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amarin Pharma Inc. | $123 |
| Novo Nordisk Inc | $114 |
| ABBVIE INC. | $100 |
| Takeda Pharmaceuticals U.S.A., Inc. | $32 |
| GlaxoSmithKline, LLC. | $15 |
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: 2022-09-28
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 |
|---|---|---|---|---|
| I20220928002184 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 19 | $0 |
Insurance plans in this area (ZIP 46237)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Family Practice | IN | |
| Family Practice | IN | |
| Family Practice | IN | |
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | IN | |
| Family Practice | IN | |
| Clinical Psychologist | MI | |
| Family Practice | MI |
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