DEREK TITUS (DO) – Anesthesiology Physician, NPI 1083149124

DEREK TITUS (DO) is a healthcare provider. based in Lebanon, Oregon. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. U2025 (TX). The NPI Number for DEREK TITUS (DO) is 1083149124

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DEREK TITUS (DO)
NPI
1083149124
Phone
Not provided
Address
200 MULLINS DR
Enumeration Date
26 April 2017
Last Update Date
13 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8179262544
Graduation Year
2019 (7 years ago)
PAC ID
2466810379
Group Practice PAC ID
0042630501
Professional Enrollment ID
I20230626002080
Address ID
TX761044110FO1400XAVEX300
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

4,591 ANESTHESIOLOGY in TX

Provider Addresses for DEREK TITUS (DO)

  • College of Osteopathic Medicine of the Pacific-Northwest, 200, Mullins Drive, Lebanon, Linn County, Oregon, 97355, United States

    LEBANON, OR 973553983

    Phone:

    Type: Mailing

  • 6431 FANNIN ST RM 5.170

    HOUSTON, TX 770301501

    Phone: (713) 500-6113

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $349.

Total Amount is formed as General ($349) + Research ($0) + Ownership ($0) = $349.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: ABIOMED ($308).

Total Amount

$349

General + Research + Ownership

Payments

5

Total payment records

General Amount

$349

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

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: 2023-06-26

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
I20230626002080IAnesthesiologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97355)

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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: 0042630501View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)NC
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

What federal number belongs to DEREK TITUS (DO)?
The federal identifier for DEREK TITUS (DO) is NPI 1083149124.
Is DEREK TITUS (DO)'s NPI currently valid?
The extract we use shows DEREK TITUS (DO) as active.
What field does DEREK TITUS (DO) work in?
You can think of DEREK TITUS (DO) as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where is DEREK TITUS (DO)'s primary listing?
We display Lebanon, Oregon because that is what the record indicates for DEREK TITUS (DO).
What if Lebanon, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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