JEROME D. DERDEL (MD) – Therapeutic Radiology Physician, NPI 1104812601
Therapeutic Radiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
419 RADIATION ONCOLOGY in PA
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Provider Addresses for JEROME D. DERDEL (MD)
1800, East Park Avenue, State College, Centre County, Pennsylvania, 16803, United States
STATE COLLEGE, PA 168036709
Phone: (814) 234-6726
Fax: (814) 234-1553
Type: Mailing
100 N ACADEMY AVE
DANVILLE, PA 178224903
Phone: (570) 271-6144
Fax: (570) 271-6578
Type: Mailing
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 $200.
Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Mirati Therapeutics, Inc. ($125).
Total Amount
$200
General + Research + Ownership
Payments
4
Total payment records
General Amount
$200
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mirati Therapeutics, Inc. | $125 |
| Bayer Healthcare Pharmaceuticals Inc. | $44 |
| Janssen Biotech, Inc. | $31 |
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: 2010-12-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101210000456 | I | Radiation Oncology | PA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 250 | 73 | $0 |
| 77334 | Design and construction of complex radiation treatment device | 112 | 32 | $0 |
| 77300 | Calculation of radiation therapy dose | 103 | 31 | $0 |
| 77014 | Ct guidance for insertion of radiation therapy fields | 83 | 23 | $0 |
| 77263 | Complex radiation therapy planning | 45 | 44 | $0 |
Insurance plans in this area (ZIP 16803)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| - | PA | |
| P S Y C H I A T R Y | NY | |
| Internal Medicine, Hospice/Palliative Care | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| - | PA | |
| - | PA | |
| Physician Assistant | PA |
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