DERRICK WILLIAMSON (DO) – Family Medicine Physician, NPI 1215922059

DERRICK WILLIAMSON (DO) is a healthcare provider. based in Livonia, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. DW009333 (MI). The NPI Number for DERRICK WILLIAMSON (DO) is 1215922059

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DERRICK WILLIAMSON (DO)
NPI
1215922059
Phone
Not provided
Address
28477 7 MILE RD
Enumeration Date
19 September 2005
Last Update Date
2 November 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2489398455
Graduation Year
1985 (41 years ago)
PAC ID
3173605805
Professional Enrollment ID
I20080201000541
Address ID
MI480755403SO20755RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for DERRICK WILLIAMSON (DO)

  • 7 Mile Road, Livonia, Wayne County, Michigan, 48267, United States

    LIVONIA, MI 481523501

    Phone:

    Type: Mailing

  • 20755 GREENFIELD RD STE 100

    SOUTHFIELD, MI 480755400

    Phone: (947) 282-5009

    Fax: (248) 809-2319

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $9,195.

Total Amount is formed as General ($4,683) + Research ($4,512) + Ownership ($0) = $9,195.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: ModernaTX, Inc. ($3,851).

Total Amount

$9,195

General + Research + Ownership

Payments

41

Total payment records

General Amount

$4,683

General payments

Research Amount

$4,512

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

Latest reported date

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: 2008-02-01

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
I20080201000541IFamily PracticeMITBD

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
99215Established patient office or other outpatient visit, 40-54 minutes8313$0
99497Advance care planning, first 30 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 48152)

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Reviews

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Frequently asked questions

Does DERRICK WILLIAMSON (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DERRICK WILLIAMSON (DO) uses 1215922059.
Is DERRICK WILLIAMSON (DO) still practicing?
DERRICK WILLIAMSON (DO) is currently listed as active in the public NPI registry.
What healthcare role does DERRICK WILLIAMSON (DO) hold?
Scheduling teams often label DERRICK WILLIAMSON (DO) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DERRICK WILLIAMSON (DO)?
DERRICK WILLIAMSON (DO)'s geographic hint is Livonia, Michigan in our summary view.
Why does DERRICK WILLIAMSON (DO) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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