DR. DEREK DEAN (DO) – Student in an Organized Health Care Education/Training Program, NPI 1639676398

DR. DEREK DEAN (DO) is a healthcare provider. based in Memphis, Tennessee. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. The NPI Number for DR. DEREK DEAN (DO) is 1639676398

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK DEAN (DO)
NPI
1639676398
Phone
Not provided
Address
920 MADISON AVE STE 447
Enumeration Date
10 April 2018
Last Update Date
10 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709912200
Graduation Year
2018 (8 years ago)
PAC ID
2769851070
Group Practice PAC ID
4688565716
Professional Enrollment ID
I20221208001426
Address ID
GA302144552FA1279X54XX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

898 OBSTETRICS/GYNECOLOGY in TN

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Provider Addresses for DR. DEREK DEAN (DO)

  • Madison Avenue, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38163, United States

    MEMPHIS, TN 381033438

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $452.

Total Amount is formed as General ($452) + Research ($0) + Ownership ($0) = $452.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($198).

Total Amount

$452

General + Research + Ownership

Payments

22

Total payment records

General Amount

$452

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2022-12-08

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
I20221208001426IObstetrics/GynecologyGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2823$0
81002Urinalysis, manual test2020$0
99214Established patient office or other outpatient visit, 30-39 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 38103)

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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: 4688565716View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA
-VA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
-FL
-GA
O B S T E T R I C S/ G Y N E C O L O G YPA

Reviews

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Frequently asked questions

Does DR. DEREK DEAN (DO) have a public NPI I can cite?
Public records show DR. DEREK DEAN (DO) under NPI 1639676398.
Is DR. DEREK DEAN (DO)'s NPI status active today?
Active status means DR. DEREK DEAN (DO)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. DEREK DEAN (DO)?
NPPES ties DR. DEREK DEAN (DO) to Student in an Organized Health Care Education/Training Program in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. DEREK DEAN (DO)?
DR. DEREK DEAN (DO) is associated with Memphis, Tennessee in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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