DEREK W BARNARD (PA-C) – Surgical Physician Assistant, NPI 1740216522

DEREK W BARNARD (PA-C) is a healthcare provider. based in Overland park, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2024022101 (MO). The NPI Number for DEREK W BARNARD (PA-C) is 1740216522

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DEREK W BARNARD (PA-C)
NPI
1740216522
Phone
(913) 322-2700
Address
5525 W 119TH ST
Enumeration Date
24 June 2006
Last Update Date
1 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9133197600
Graduation Year
2000 (26 years ago)
PAC ID
6002819018
Group Practice PAC ID
1153225479
Professional Enrollment ID
I20240624001709
Address ID
MO641113235KA4320XRDXX304
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

1,303 PHYSICIAN ASSISTANT in KS

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Provider Addresses for DEREK W BARNARD (PA-C)

  • 5525, West 119th Street, Overland Park, Johnson County, Kansas, 66209, United States

    SUITE 210

    OVERLAND PARK, KS 662093718

    Phone: (913) 322-2700

    Fax: (913) 322-7890

    Type: Mailing

  • 3651 COLLEGE BLVD

    LEAWOOD, KS 662111910

    Phone: (913) 319-7600

    Fax: (913) 253-1702

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-06-24

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
I20060811000405IPhysician AssistantKSTBD
I20240624001709IPhysician AssistantMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66209)

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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: 1153225479View full group profile
NameSpecialtyState
Orthopedic SurgeryKS
Orthopedic Surgery, Hand SurgeryKS
Orthopedic SurgeryKS
Sports Medicine, Orthopedic SurgeryKS
Orthopedic SurgeryKS
Orthopedic Surgery, Sports MedicineKS
-KS
Orthopedic SurgeryKS
-KS
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

Can I verify DEREK W BARNARD (PA-C) with an NPI only?
You can start verification with NPI 1740216522 for DEREK W BARNARD (PA-C), then check state licensing separately.
Does the file indicate DEREK W BARNARD (PA-C) is practicing under active NPI?
Directory data currently reports DEREK W BARNARD (PA-C) as active.
What healthcare role does DEREK W BARNARD (PA-C) hold?
Scheduling teams often label DEREK W BARNARD (PA-C) under Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect DEREK W BARNARD (PA-C) on a map?
Expect Overland Park, Kansas as a primary anchor for DEREK W BARNARD (PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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