DR. JOHN FRANCIS JR. DERY (D.O.) – Emergency Medicine Physician, NPI 1720101561

DR. JOHN FRANCIS JR. DERY (D.O.) is a healthcare provider. based in East lansing, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101016137 (MI). The NPI Number for DR. JOHN FRANCIS JR. DERY (D.O.) is 1720101561

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN FRANCIS JR. DERY (D.O.)
NPI
1720101561
Phone
Not provided
Address
411 W LAKE LANSING RD
Enumeration Date
9 April 2007
Last Update Date
25 November 2008

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF OSTEOPATHY
Secondary Phone
9899569069
Graduation Year
2004 (22 years ago)
PAC ID
3173699667
Group Practice PAC ID
7012829773
Professional Enrollment ID
I20080908000103
Address ID
MI488582041MT4851XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for DR. JOHN FRANCIS JR. DERY (D.O.)

  • 411 W LAKE LANSING RD

    SUITE C 120

    EAST LANSING, MI 488238445

    Phone:

    Type: Mailing

  • 1215 E MICHIGAN AVE

    LANSING, MI 489121811

    Phone: (517) 364-4141

    Type: Location

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: 2025-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20080908000103IEmergency MedicineMITBD
I20180501000781IEmergency MedicineNCTBD
I20190731001784IEmergency MedicineGATBD
I20250109002160IEmergency MedicineTNTBD

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
99285Emergency department visit with high level of medical decision making144139$0
99284Emergency department visit with moderate level of medical decision making131128$0
99291Critical care, first 30-74 minutes4341$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4119$0
99283Emergency department visit with low level of medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 48823)

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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: 7012829773View full group profile
NameSpecialtyState
General Practice, Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
-MI
Emergency MedicineMI
Physician AssistantMI
Family PracticeMI
Emergency MedicineMI
-MI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Is DR. JOHN FRANCIS JR. DERY (D.O.) listed with a National Provider Identifier?
Yes — DR. JOHN FRANCIS JR. DERY (D.O.) has NPI 1720101561 on file in the registry.
Active or inactive — what applies to DR. JOHN FRANCIS JR. DERY (D.O.)?
You should see DR. JOHN FRANCIS JR. DERY (D.O.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. JOHN FRANCIS JR. DERY (D.O.)?
At a glance, DR. JOHN FRANCIS JR. DERY (D.O.) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JOHN FRANCIS JR. DERY (D.O.)?
Directory geography for DR. JOHN FRANCIS JR. DERY (D.O.) centers on East Lansing, Michigan.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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