DR. EDWARD JUSTIN DERRICK (MD) – Diagnostic Radiology Physician, NPI 1285078154

DR. EDWARD JUSTIN DERRICK (MD) is a healthcare provider. based in Cleveland, Ohio. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 2018006395 (MO). The NPI Number for DR. EDWARD JUSTIN DERRICK (MD) is 1285078154

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD JUSTIN DERRICK (MD)
NPI
1285078154
Phone
Not provided
Address
9500 EUCLID AVE
Enumeration Date
23 April 2013
Last Update Date
24 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4077644000
Graduation Year
2013 (13 years ago)
PAC ID
2769611540
Group Practice PAC ID
0042383200
Professional Enrollment ID
I20190830002693
Address ID
FL347474970CE400XXPLXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

1,218 DIAGNOSTIC RADIOLOGY in MO

Provider Addresses for DR. EDWARD JUSTIN DERRICK (MD)

  • 9500 EUCLID AVE

    CLEVELAND, OH 441950001

    Phone:

    Type: Mailing

  • 510 S KINGSHIGHWAY BLVD

    SAINT LOUIS, MO 631101016

    Phone: (314) 362-7200

    Fax: (314) 747-4189

    Type: Location

  • 25875 Science Park Dr # Ac116

    Beachwood, OH 44122

    Phone: (216) 402-9593

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2023-02-09

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
I20190830002693IDiagnostic RadiologyFLTBD
I20230209001952IDiagnostic RadiologyKYTBD

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
74177Ct scan of abdomen and pelvis with contrast315309$0
74176Ct scan of abdomen and pelvis without contrast183178$0
71045X-ray of chest, 1 view6059$0
71275Ct scan of blood vessels of chest with contrast5959$0
93970Ultrasound study of arm or leg veins with compression and maneuvers2626$0
View full utilization report →

Insurance plans in this area (ZIP 44195)

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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: 0042383200View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyMI
Radiation OncologyFL
-MN
Diagnostic RadiologyMA
Diagnostic Radiology, Interventional RadiologyFL
Radiation OncologyWA
-FL
-FL
Interventional RadiologyFL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. EDWARD JUSTIN DERRICK (MD)?
NPI 1285078154 is assigned to DR. EDWARD JUSTIN DERRICK (MD) under the national enumeration system.
Does this profile mean DR. EDWARD JUSTIN DERRICK (MD) is currently active?
Yes — DR. EDWARD JUSTIN DERRICK (MD) appears active in the national provider directory.
What kind of provider is DR. EDWARD JUSTIN DERRICK (MD)?
The page reflects Diagnostic Radiology Physician for DR. EDWARD JUSTIN DERRICK (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. EDWARD JUSTIN DERRICK (MD)?
The snapshot lists Cleveland, Ohio for DR. EDWARD JUSTIN DERRICK (MD); download NPPES for the complete set.
Is DR. EDWARD JUSTIN DERRICK (MD) a real provider?
This page reflects official NPPES data for NPI 1285078154. Always confirm identity and privileges with the practice and licensing boards.

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