DR. KATARZYNA DERLUKIEWICZ (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1033378708
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
819 PSYCHIATRY in MO
Provider Addresses for DR. KATARZYNA DERLUKIEWICZ (M.D.)
235 PROGRESS RD
HANNIBAL, MO 63401
Phone: (573) 777-8300
Type: Location
540 Harrison St
Quincy, IL 623017236
Phone: (217) 222-6277
Fax: (217) 214-5450
Type: Location
141 COMMUNICATION DR
HANNIBAL, MO 63401
Phone: (573) 795-7342
Fax: (573) 248-3080
Type: Location
900 E. LA HARPE ST
KIRKSVILLE, MO 63501
Phone: (660) 665-1962
Fax: (660) 665-3989
Type: Mailing
700 W Adams St
Bowling Green, MO 633342046
Phone: (573) 603-1460
Fax: (573) 603-1462
Type: Location
4355 Paris Gravel Rd
Hannibal, MO 634016017
Phone: (573) 603-1460
Fax: (573) 603-1462
Type: Location
639 York St Rm 212
Quincy, IL 623013919
Phone: (217) 222-6277
Fax: (217) 214-5450
Type: Location
428 S 36th St
Quincy, IL 623015924
Phone: (217) 224-6300
Fax: (217) 224-4329
Type: Location
301 W Martin St
Cairo, MO 652391006
Phone: (573) 603-1460
Fax: (573) 603-1462
Type: Location
1805 E Walnut St
Columbia, MO 652016425
Phone: (573) 603-1460
Fax: (573) 603-1462
Type: Location
1 Healthcare Pl
Bowling Green, MO 633343602
Phone: (573) 603-1460
Fax: (573) 603-1462
Type: Location
141 Communication Dr
Hannibal, MO 634013670
Phone: (573) 603-1460
Fax: (573) 603-1462
Type: Location
1300 E Bradford Pkwy
Springfield, MO 658044264
Phone: (417) 761-5000
Fax: (417) 761-5011
Type: Location
2015 S Halliburton St
Kirksville, MO 635014646
Phone: (660) 626-0698
Fax: (660) 626-5872
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $464.
Total Amount is formed as General ($464) + Research ($0) + Ownership ($0) = $464.
Last reported payment date: 2023-09-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($239).
Total Amount
$464
General + Research + Ownership
Payments
4
Total payment records
General Amount
$464
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $239 |
| Axsome Therapeutics, Inc. | $125 |
| ABBVIE INC. | $100 |
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: 2021-05-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080904000009 | I | Psychiatry | MO | TBD |
| I20210504002429 | I | Psychiatry | IL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OK | |
| - | OK | |
| Mental Health Counselor | MO | |
| Mental Health Counselor | MO | |
| Mental Health Counselor | MO | |
| P S Y C H I A T R Y | MO | |
| Mental Health Counselor | MO | |
| Mental Health Counselor | MO | |
| Nurse Practitioner | MO | |
| Mental Health Counselor | OK |
Reviews
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