DR. DEREK SCHALLER (M.D.) – Emergency Medicine Physician, NPI 1053623751

DR. DEREK SCHALLER (M.D.) is a healthcare provider. based in Birch run, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301097229 (MI). The NPI Number for DR. DEREK SCHALLER (M.D.) is 1053623751

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK SCHALLER (M.D.)
NPI
1053623751
Phone
(810) 614-6514
Address
12540 CANADA RD
Enumeration Date
9 July 2010
Last Update Date
1 December 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9894533223
Graduation Year
2010 (16 years ago)
PAC ID
5890938633
Group Practice PAC ID
1456242296
Professional Enrollment ID
I20130827000667
Address ID
MI487559704PI170XXRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for DR. DEREK SCHALLER (M.D.)

  • 12540 CANADA RD

    BIRCH RUN, MI 484159726

    Phone: (810) 614-6514

    Type: Mailing

  • 900 COOPER AVE

    SAGINAW, MI 486025182

    Phone: (989) 583-6521

    Type: Location

  • 760 WEISS ST

    FRANKENMUTH, MI 487341920

    Phone: (810) 614-6514

    Type: Mailing

  • 6071 W OUTER DR

    DETROIT, MI 482352624

    Phone: (313) 966-1020

    Type: Location

  • 3559 Pine St

    Deckerville, MI 484277703

    Phone: (810) 376-2835

    Type: Location

  • 800 S Washington Ave

    Saginaw, MI 486012551

    Phone: (989) 907-8781

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-01-27 • Largest payer in this snapshot: BrainScope Company, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
BrainScope Company, Inc.$24
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: 2013-08-27

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
I20130827000667IEmergency MedicineMITBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9390$0
99285Emergency department visit with high level of medical decision making9292$0
99284Emergency department visit with moderate level of medical decision making3029$0
99291Critical care, first 30-74 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 48415)

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Provider's Procedures

DR. DEREK SCHALLER (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEMI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report377336

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: 1456242296View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Family Practice, Geriatric MedicineMI
Certified Registered Nurse Anesthetist (Crna)MI
Emergency MedicineMI
-MI
Nurse PractitionerMI
Clinical Social WorkerMI
General SurgeryMI
Certified Registered Nurse Anesthetist (Crna)MI
Nurse PractitionerMI

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Frequently asked questions

How is DR. DEREK SCHALLER (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. DEREK SCHALLER (M.D.) with NPI 1053623751.
Is DR. DEREK SCHALLER (M.D.) listed as active for patients and plans?
The listing shows DR. DEREK SCHALLER (M.D.) as active in the NPI system.
What is DR. DEREK SCHALLER (M.D.) best known for clinically?
Directory data describes DR. DEREK SCHALLER (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. DEREK SCHALLER (M.D.) serve?
DR. DEREK SCHALLER (M.D.)'s listing highlights Birch Run, Michigan; more addresses can appear in NPPES.
Why does DR. DEREK SCHALLER (M.D.) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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