DEREK S DYESS (M.D.) – Diagnostic Radiology Physician, NPI 1184621021

DEREK S DYESS (M.D.) is a healthcare provider. based in Edina, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 042.0016510-COMP (VT). The NPI Number for DEREK S DYESS (M.D.) is 1184621021

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DEREK S DYESS (M.D.)
NPI
1184621021
Phone
(952) 595-1100
Address
3600 MINNESOTA DR STE 800
Enumeration Date
7 July 2005
Last Update Date
5 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
3098334101
Graduation Year
1999 (27 years ago)
PAC ID
7214914183
Group Practice PAC ID
5193800258
Professional Enrollment ID
I20221220001513
Address ID
VT050911263WO30XXXGRNX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

Provider Addresses for DEREK S DYESS (M.D.)

  • 3600 MINNESOTA DR STE 800

    EDINA, MN 554357915

    Phone: (952) 595-1100

    Type: Mailing

  • 1860, Chadwick Drive, Bradie, Jackson, Hinds County, Mississippi, 39204, United States

    SUITE B

    JACKSON, MS 392043463

    Phone: (601) 373-6441

    Fax: (601) 373-5715

    Type: Location

  • 1860 Chadwick Dr

    Suite B

    Jackson, MS 392043463

    Phone: (601) 373-6441

    Fax: (601) 373-5715

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2025-06-03

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
I20221220001513IDiagnostic RadiologyVTTBD
I20230127001081IDiagnostic RadiologyWATBD
I20230717000569IDiagnostic RadiologyILTBD
I20250603001864IDiagnostic RadiologyMNTBD

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
71045X-ray of chest, 1 view627596$0
70450Ct scan head or brain without contrast424413$0
74177Ct scan of abdomen and pelvis with contrast331327$0
74176Ct scan of abdomen and pelvis without contrast235232$0
71275Ct scan of blood vessels of chest with contrast194193$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

Loading plans...

Provider's Procedures

DEREK S DYESS (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMS71010X-ray of chest, 1 view, front1421980
DIAGNOSTIC RADIOLOGYMS71250CT scan chest1312
DIAGNOSTIC RADIOLOGYMS73630X-ray of foot, minimum of 3 views9181
DIAGNOSTIC RADIOLOGYMS74177CT scan of abdomen and pelvis with contrast1818

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: 5193800258View full group profile
NameSpecialtyState
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyIL
Diagnostic RadiologyMN
Diagnostic RadiologyFL
Diagnostic RadiologyNC
Diagnostic RadiologyMN
Diagnostic RadiologyGA
-IL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for DEREK S DYESS (M.D.)?
Save NPI 1184621021 if you need a stable reference for DEREK S DYESS (M.D.).
Is DEREK S DYESS (M.D.)'s NPI currently valid?
The extract we use shows DEREK S DYESS (M.D.) as active.
What kind of provider is DEREK S DYESS (M.D.)?
The page reflects Diagnostic Radiology Physician for DEREK S DYESS (M.D.). Clinical services aligned with this taxonomy classification.
Does DEREK S DYESS (M.D.) practice in Minnesota?
You will see Edina, Minnesota on file for DEREK S DYESS (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.