DEREK J MENKEDICK (D.O.) – Neurology Physician, NPI 1699137364

DEREK J MENKEDICK (D.O.) is a healthcare provider. based in Miamisburg, Ohio. specializing in NEUROLOGY. They hold the professional credentials D.O.. They hold a License No. 34.014272 (OH). The NPI Number for DEREK J MENKEDICK (D.O.) is 1699137364

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DEREK J MENKEDICK (D.O.)
NPI
1699137364
Phone
(937) 762-1310
Address
1 PRESTIGE PL STE 550
Enumeration Date
22 March 2016
Last Update Date
11 July 2024

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9372832570
Graduation Year
2016 (10 years ago)
PAC ID
5991096117
Group Practice PAC ID
4688853419
Professional Enrollment ID
I20200605001960
Address ID
OH451772166WI630XXSTXX401

Contacts

Secure Messaging
dmenkedick567320@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

1,301 NEUROLOGY in OH

Provider Addresses for DEREK J MENKEDICK (D.O.)

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (937) 762-1310

    Fax: (937) 522-8493

    Type: Mailing

  • 3700 Southern Blvd Ste 300

    Kettering, OH 454291265

    Phone: (937) 643-9299

    Fax: (937) 643-2343

    Type: Location

  • 1975 MIAMISBURG CENTERVILLE RD

    CENTERVILLE, OH 454593811

    Phone: (937) 439-6186

    Fax: (937) 439-6189

    Type: Mailing

  • Miamisburg Centerville Road, Centerville, Montgomery County, Ohio, 45459-4011, United States

    CENTERVILLE, OH 454593811

    Phone: (937) 439-6186

    Fax: (937) 439-6189

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 369 Open Payments records for all available years, with a total value of $8,163.

Total Amount is formed as General ($8,163) + Research ($0) + Ownership ($0) = $8,163.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: MDD US Operations, LLC ($1,479).

Total Amount

$8,163

General + Research + Ownership

Payments

369

Total payment records

General Amount

$8,163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2020-06-05

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
I20200605001960INeurologyOHTBD

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
J0585Injection, onabotulinumtoxina, 1 unit6,69717$0
99205New patient office or other outpatient visit, 60-74 minutes154154$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8584$0
99215Established patient office or other outpatient visit, 40-54 minutes7570$0
99214Established patient office or other outpatient visit, 30-39 minutes5142$0
View full utilization report →

Insurance plans in this area (ZIP 45342)

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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: 4688853419View full group profile

Reviews

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Frequently asked questions

Does DEREK J MENKEDICK (D.O.) have a public NPI I can cite?
Public records show DEREK J MENKEDICK (D.O.) under NPI 1699137364.
Is DEREK J MENKEDICK (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists DEREK J MENKEDICK (D.O.) as active.
What type of care does DEREK J MENKEDICK (D.O.) provide?
DEREK J MENKEDICK (D.O.)'s profile centers on Neurology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DEREK J MENKEDICK (D.O.) in Miamisburg, Ohio?
For routing, start with Miamisburg, Ohio for DEREK J MENKEDICK (D.O.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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