DERICK WALDNER (DO) – Anesthesiology Physician, NPI 1346770427

DERICK WALDNER (DO) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 25MB11374600 (NJ). The NPI Number for DERICK WALDNER (DO) is 1346770427

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DERICK WALDNER (DO)
NPI
1346770427
Phone
(215) 456-1825
Address
101 E OLNEY AVE STE 400
Enumeration Date
12 June 2017
Last Update Date
4 June 2024

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
6102751028
Graduation Year
2013 (13 years ago)
PAC ID
3274912191
Group Practice PAC ID
6204145642
Professional Enrollment ID
I20220623002935
Address ID
PA194011820EA2701XPIKE375
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

2,825 ANESTHESIOLOGY in PA

Provider Addresses for DERICK WALDNER (DO)

  • 101 E OLNEY AVE STE 400

    PHILADELPHIA, PA 191202470

    Phone: (215) 456-1825

    Fax: (215) 456-5926

    Type: Mailing

  • 932 Hedgerow Ct

    Blue Bell, PA 194222408

    Phone: (913) 244-3081

    Type: Location

  • Stratford I, Century Village - West Palm Beach, Century Village, Palm Beach County, Florida, 33417, United States

    STRATFORD, NJ 080841500

    Phone:

    Type: Mailing

  • 559 W GERMANTOWN PIKE

    NORRISTOWN, PA 194034250

    Phone: (484) 622-1248

    Fax: (484) 622-1269

    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: 2022-09-21

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
I20220623002935IAnesthesiologyPATBD
I20220921000304IAnesthesiologyNJTBD

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
01480Anesthesia for other procedure on lower leg, ankle, and foot bones2824$0
00812Anesthesia for exam of colon using an endoscope2525$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1919$0
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1515$0
View full utilization report →

Insurance plans in this area (ZIP 19120)

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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: 6204145642View full group profile
NameSpecialtyState
Diagnostic RadiologyNJ
A N E S T H E S I O L O G YPA
-PA
A N E S T H E S I O L O G YMD
Family PracticeNM
-PA
Family PracticePA
Physician AssistantPA
Orthopedic SurgeryPA
-PA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DERICK WALDNER (DO)?
DERICK WALDNER (DO) — NPI 1346770427 — is the standard way to identify this listing.
Can I rely on DERICK WALDNER (DO) being an active provider?
As of the registry snapshot, DERICK WALDNER (DO) is marked active.
What is DERICK WALDNER (DO)'s specialty?
The listing groups DERICK WALDNER (DO) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What area does DERICK WALDNER (DO) serve?
DERICK WALDNER (DO)'s listing highlights Philadelphia, Pennsylvania; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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