DEREK NOTCH (M.D.) – Neurology Physician, NPI 1255863072

DEREK NOTCH (M.D.) is a healthcare provider. based in New prague, Minnesota. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. DR.0069362 (CO). The NPI Number for DEREK NOTCH (M.D.) is 1255863072

Main info

Male
9 Years Of Experience
Name
DEREK NOTCH (M.D.)
NPI
1255863072
Phone
(952) 994-3145
Address
24252 REDWING AVE
Enumeration Date
30 March 2017
Last Update Date
25 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
3072888726
Group Practice PAC ID
3577556968
Professional Enrollment ID
I20220831002483
Address ID
CO807513033ST427XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

811 NEUROLOGY in MO

Provider Addresses for DEREK NOTCH (M.D.)

  • 24252 REDWING AVE

    NEW PRAGUE, MN 560716803

    Phone: (952) 994-3145

    Type: Mailing

  • 1402 S Grand Blvd

    M260

    Saint Louis, MO 631041004

    Phone: (314) 977-9853

    Type: Location

  • Schwitalla Hall Saint Louis School of Medicine, 1402, South Grand Boulevard, Gate District, City of Saint Louis, Missouri, 63104, United States

    M260

    SAINT LOUIS, MO 631041004

    Phone: (314) 977-9853

    Type: Location

  • 14300 ORCHARD PKWY

    WESTMINSTER, CO 800239206

    Phone: (303) 925-4060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $1,076.

Total Amount is formed as General ($1,076) + Research ($0) + Ownership ($0) = $1,076.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($782).

Total Amount

$1,076

General + Research + Ownership

Payments

26

Total payment records

General Amount

$1,076

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2022-08-31

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
I20220831002483INeurologyCOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5236$0
99204New patient office or other outpatient visit, 45-59 minutes4343$0
99213Established patient office or other outpatient visit, 20-29 minutes3832$0
99205New patient office or other outpatient visit, 60-74 minutes2525$0
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance1111$0
View full utilization report →

Insurance plans in this area (ZIP 56071)

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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: 3577556968View full group profile
NameSpecialtyState
Hospitalist, Internal Medicine, Osteopathic Manipulative MedicineCO
N E U R O S U R G E R YCO
Family PracticeCO
N E U R O S U R G E R YCA
Orthopedic SurgeryCO
Internal Medicine, Pediatric MedicineMO
Orthopedic SurgeryCO
Physician AssistantCO
Orthopedic SurgeryCO
Nurse PractitionerWY

Reviews

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Frequently asked questions

Can I verify DEREK NOTCH (M.D.) with an NPI only?
You can start verification with NPI 1255863072 for DEREK NOTCH (M.D.), then check state licensing separately.
Is DEREK NOTCH (M.D.) still practicing?
DEREK NOTCH (M.D.) is currently listed as active in the public NPI registry.
What is DEREK NOTCH (M.D.)'s primary classification?
Neurology Physician is the headline specialty for DEREK NOTCH (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does DEREK NOTCH (M.D.) serve?
DEREK NOTCH (M.D.)'s listing highlights New Prague, Minnesota; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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