JAIMIE J. DERANEY (MD) – Obstetrics & Gynecology Physician, NPI 1629096367

JAIMIE J. DERANEY (MD) is a healthcare provider. based in Detroit lakes, Minnesota. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 43133 (MN). The NPI Number for JAIMIE J. DERANEY (MD) is 1629096367

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
JAIMIE J. DERANEY (MD)
NPI
1629096367
Phone
(218) 846-2000
Address
1245 WASHINGTON AVE
Enumeration Date
18 July 2006
Last Update Date
29 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
2188636100
Graduation Year
1995 (31 years ago)
PAC ID
3476528001
Group Practice PAC ID
8426967803
Professional Enrollment ID
I20141031001897
Address ID
MN565724234PE211XXSTXX400

Contacts

Secure Messaging
jderaney1841280@direct.sanfordhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

822 OBSTETRICS/GYNECOLOGY in MN

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Provider Addresses for JAIMIE J. DERANEY (MD)

  • 1245, Washington Avenue, Detroit Lakes, Becker County, Minnesota, 56501, United States

    DETROIT LAKES, MN 565013905

    Phone: (218) 846-2000

    Fax: (218) 846-2114

    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 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-12-07 • Largest payer in this snapshot: PFIZER INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$18
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: 2014-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040827000748IObstetrics/GynecologyMNTBD
I20141031001897IObstetrics/GynecologyNDTBD

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 minutes3421$0
99213Established patient office or other outpatient visit, 20-29 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 56501)

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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: 8426967803View full group profile

Reviews

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Frequently asked questions

How do payers reference JAIMIE J. DERANEY (MD)?
For JAIMIE J. DERANEY (MD), use NPI 1629096367 as the unique 10-digit identifier.
Is JAIMIE J. DERANEY (MD) still an active registrant?
JAIMIE J. DERANEY (MD) carries an active NPI according to the public dataset.
How would a patient describe JAIMIE J. DERANEY (MD)'s focus?
For JAIMIE J. DERANEY (MD), the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is JAIMIE J. DERANEY (MD) located near Detroit Lakes?
JAIMIE J. DERANEY (MD) currently maps to Detroit Lakes, Minnesota in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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