DR. PATRICK DERBY (DPM) – Podiatrist, NPI 1073075222

DR. PATRICK DERBY (DPM) is a healthcare provider. based in Clinton township, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO4422 (FL). The NPI Number for DR. PATRICK DERBY (DPM) is 1073075222

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRICK DERBY (DPM)
NPI
1073075222
Phone
Not provided
Address
15855 19 MILE RD
Enumeration Date
4 April 2019
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
7278003387
Graduation Year
2019 (7 years ago)
PAC ID
2264767433
Group Practice PAC ID
0042252140
Professional Enrollment ID
I20220613002182
Address ID
FL337051449ST560XXNXXX403

Contacts

Secure Messaging
pderby597718@direct.hfhs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

753 PODIATRY in MI

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Provider Addresses for DR. PATRICK DERBY (DPM)

  • Henry Ford Macomb Hospital, 15855, 19 Mile Road, Clinton Township, Macomb County, Michigan, 48038, United States

    CLINTON TOWNSHIP, MI 480383504

    Phone:

    Type: Mailing

  • 560 Jackson St N Ste 120

    St Petersburg, FL 337051449

    Phone: (727) 800-3387

    Type: Location

  • 15815 SHADDOCK DR STE 130

    WINTER GARDEN, FL 347875773

    Phone: (813) 400-1140

    Fax: (813) 701-9132

    Type: Mailing

  • 4700 N HABANA AVE STE 400

    TAMPA, FL 336147119

    Phone: (813) 499-0774

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $1,716.

Total Amount is formed as General ($1,716) + Research ($0) + Ownership ($0) = $1,716.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Stryker Corporation ($936).

Total Amount

$1,716

General + Research + Ownership

Payments

28

Total payment records

General Amount

$1,716

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2022-06-13

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
I20220613002182IPodiatryFLTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11027$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6216$0
99213Established patient office or other outpatient visit, 20-29 minutes5931$0
11721Removal of fingernails or toenails, 6 or more nails5327$0
99214Established patient office or other outpatient visit, 30-39 minutes5228$0
View full utilization report →

Insurance plans in this area (ZIP 48038)

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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: 0042252140View full group profile
NameSpecialtyState
P O D I A T R YNJ
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YKY
P O D I A T R YFL
P O D I A T R YFL
Physical Therapist In Private PracticeFL
P O D I A T R YFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. PATRICK DERBY (DPM)?
DR. PATRICK DERBY (DPM) — NPI 1073075222 — is the standard way to identify this listing.
Does the file indicate DR. PATRICK DERBY (DPM) is practicing under active NPI?
Directory data currently reports DR. PATRICK DERBY (DPM) as active.
What is DR. PATRICK DERBY (DPM)'s primary classification?
Podiatrist is the headline specialty for DR. PATRICK DERBY (DPM) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. PATRICK DERBY (DPM) on a map?
Expect Clinton Township, Michigan as a primary anchor for DR. PATRICK DERBY (DPM) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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