MR. ANTHONY DERENCIUS (PA-C) – Physician Assistant, NPI 1114244779

MR. ANTHONY DERENCIUS (PA-C) is a healthcare provider. based in San antonio, Texas. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA11167 (TX). The NPI Number for MR. ANTHONY DERENCIUS (PA-C) is 1114244779

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANTHONY DERENCIUS (PA-C)
NPI
1114244779
Phone
(210) 575-4837
Address
8201 EWING HALSELL DR
Enumeration Date
22 April 2010
Last Update Date
13 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
2103258402
Graduation Year
2009 (17 years ago)
PAC ID
6901020783
Group Practice PAC ID
6103063078
Professional Enrollment ID
I20171016002574
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for MR. ANTHONY DERENCIUS (PA-C)

  • 8201 EWING HALSELL DR

    SAN ANTONIO, TX 782293707

    Phone: (210) 575-4837

    Fax: (210) 575-8480

    Type: Mailing

  • 3429 GUSTIN ST

    WAHIAWA, HI 967863687

    Phone:

    Type: Mailing

  • 98-211 PALI MOMI ST

    SUITE 312

    AIEA, HI 967014301

    Phone: (808) 486-0449

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $15,096.

Total Amount is formed as General ($15,096) + Research ($0) + Ownership ($0) = $15,096.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Madrigal Pharmaceuticals ($10,531).

Total Amount

$15,096

General + Research + Ownership

Payments

31

Total payment records

General Amount

$15,096

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 minutes11091$0
99215Established patient office or other outpatient visit, 40-54 minutes5648$0
99213Established patient office or other outpatient visit, 20-29 minutes3130$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1711$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 78229)

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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: 6103063078View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineAL
Nurse PractitionerTX
Physician AssistantTX
Gastroenterology, Internal MedicineTX
G A S T R O E N T E R O L O G YTX
Nurse PractitionerTX
P S Y C H I A T R YTX

Reviews

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Frequently asked questions

How is MR. ANTHONY DERENCIUS (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MR. ANTHONY DERENCIUS (PA-C) with NPI 1114244779.
Does the file indicate MR. ANTHONY DERENCIUS (PA-C) is practicing under active NPI?
Directory data currently reports MR. ANTHONY DERENCIUS (PA-C) as active.
What is MR. ANTHONY DERENCIUS (PA-C)'s primary classification?
Physician Assistant is the headline specialty for MR. ANTHONY DERENCIUS (PA-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for MR. ANTHONY DERENCIUS (PA-C)?
MR. ANTHONY DERENCIUS (PA-C)'s geographic hint is San Antonio, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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