DR. COLIN P DERDEYN (MD) – Diagnostic Radiology Physician, NPI 1063438299
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,529 DIAGNOSTIC RADIOLOGY in VA
Provider Addresses for DR. COLIN P DERDEYN (MD)
PO BOX 9007
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing
1215 LEE ST
CHARLOTTESVILLE, VA 229081009
Phone: (434) 924-9400
Type: Location
University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States
RM 3966 JPP
IOWA CITY, IA 522421009
Phone: (319) 356-3374
Fax: (319) 384-8790
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $35,695.
Total Amount is formed as General ($35,695) + Research ($0) + Ownership ($0) = $35,695.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Penumbra, Inc. ($22,500).
Total Amount
$35,695
General + Research + Ownership
Payments
37
Total payment records
General Amount
$35,695
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $22,500 |
| Siemens Medical Solutions USA, Inc. | $13,108 |
| MicroVention, Inc. | $87 |
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: 2024-04-23
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 |
|---|---|---|---|---|
| I20240423001905 | I | Diagnostic Radiology | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22906)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | VA | |
| - | VA | |
| A N E S T H E S I O L O G Y | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| - | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.