DEREK LETORT (M.D.) – Neurology Physician, NPI 1023202272

DEREK LETORT (M.D.) is a healthcare provider. based in Memphis, Tennessee. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 20226 (MS). The NPI Number for DEREK LETORT (M.D.) is 1023202272

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DEREK LETORT (M.D.)
NPI
1023202272
Phone
Not provided
Address
965 RIDGE LAKE BLVD STE 103
Enumeration Date
30 August 2007
Last Update Date
8 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
6018259000
Graduation Year
2004 (22 years ago)
PAC ID
3678645744
Group Practice PAC ID
1153216411
Professional Enrollment ID
I20101013000681
Address ID
MS392088712PE3011XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

157 NEUROLOGY in MS

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Provider Addresses for DEREK LETORT (M.D.)

  • Ridge Lake Boulevard, White Station, Memphis, Shelby County, Tennessee, 38120, United States

    MEMPHIS, TN 381209446

    Phone:

    Fax: (901) 227-8591

    Type: Mailing

  • 420, North State Street, Jackson, Hinds County, Mississippi, 39201, United States

    JACKSON, MS 392022027

    Phone: (601) 355-3353

    Fax: (601) 355-3365

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 349 Open Payments records for all available years, with a total value of $8,016.

Total Amount is formed as General ($8,016) + Research ($0) + Ownership ($0) = $8,016.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: PFIZER INC. ($861).

Total Amount

$8,016

General + Research + Ownership

Payments

349

Total payment records

General Amount

$8,016

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2010-10-13

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
I20101013000681INeurologyMSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes661452$0
99204New patient office or other outpatient visit, 45-59 minutes8484$0
99213Established patient office or other outpatient visit, 20-29 minutes4747$0
95816Measurement of brain wave activity (eeg), awake and drowsy3030$0
View full utilization report →

Insurance plans in this area (ZIP 38120)

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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: 1153216411View full group profile

Reviews

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Frequently asked questions

Does DEREK LETORT (M.D.) have a public NPI I can cite?
Public records show DEREK LETORT (M.D.) under NPI 1023202272.
Does the public listing show DEREK LETORT (M.D.) as active?
DEREK LETORT (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DEREK LETORT (M.D.)'s specialty?
The extract shows Neurology Physician for DEREK LETORT (M.D.). Clinical services aligned with this taxonomy classification.
Is DEREK LETORT (M.D.) tied to Memphis, Tennessee?
If you are local to Memphis, Tennessee, DEREK LETORT (M.D.) may be relevant to your search.
Why is information missing for DEREK LETORT (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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