MR. DEREK ROBERT TESORO (DPM) – Podiatrist, NPI 1891873022

MR. DEREK ROBERT TESORO (DPM) is a healthcare provider. based in Saginaw, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. DT001450 (MI). The NPI Number for MR. DEREK ROBERT TESORO (DPM) is 1891873022

Main info

Male
38 Years Of Experience
Name
MR. DEREK ROBERT TESORO (DPM)
NPI
1891873022
Phone
(989) 790-4662
Address
5400 MACKINAW
Enumeration Date
2 November 2006
Last Update Date
15 May 2008

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9897904662
Graduation Year
1988 (38 years ago)
PAC ID
9032245865
Group Practice PAC ID
4385765130
Professional Enrollment ID
I20100331000123
Address ID
MI486049532SA5400XRDXX301
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

753 PODIATRY in MI

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Provider Addresses for MR. DEREK ROBERT TESORO (DPM)

  • 5400, Mackinaw Road, Kochville Township, Saginaw County, Michigan, 48604, United States

    SUITE 2100

    SAGINAW, MI 486049549

    Phone: (989) 790-4662

    Fax: (989) 790-7680

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $2,184.

Total Amount is formed as General ($2,184) + Research ($0) + Ownership ($0) = $2,184.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Paragon 28, Inc. ($632).

Total Amount

$2,184

General + Research + Ownership

Payments

30

Total payment records

General Amount

$2,184

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2010-03-31

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
I20100331000123IPodiatryMITBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg60057$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg57756$0
11721Removal of fingernails or toenails, 6 or more nails491186$0
11056Removal of noncancer thickened skin growth, 2-4 growths14761$0
73630X-ray of foot, minimum of 3 views13893$0
View full utilization report →

Insurance plans in this area (ZIP 48604)

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Provider's Procedures

MR. DEREK ROBERT TESORO (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYMI11042Removal of skin and tissue first 20 sq cm or less5622
PODIATRYMI11056Removal of 2 to 4 thickened skin growths12551

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: 4385765130View full group profile
NameSpecialtyState
P O D I A T R YMI

Reviews

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Frequently asked questions

Can I verify MR. DEREK ROBERT TESORO (DPM) with an NPI only?
You can start verification with NPI 1891873022 for MR. DEREK ROBERT TESORO (DPM), then check state licensing separately.
Does CMS list MR. DEREK ROBERT TESORO (DPM) as active?
Yes — MR. DEREK ROBERT TESORO (DPM) is active in the NPI listing used on this page.
What is MR. DEREK ROBERT TESORO (DPM)'s specialty?
The listing groups MR. DEREK ROBERT TESORO (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
Where should I expect MR. DEREK ROBERT TESORO (DPM) on a map?
Expect Saginaw, Michigan as a primary anchor for MR. DEREK ROBERT TESORO (DPM) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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