DR. DEREK JOHN DAVIES (M.D.) – Student in an Organized Health Care Education/Training Program, NPI 1205063559

DR. DEREK JOHN DAVIES (M.D.) is a healthcare provider. based in Portsmouth, Virginia. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. The NPI Number for DR. DEREK JOHN DAVIES (M.D.) is 1205063559

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK JOHN DAVIES (M.D.)
NPI
1205063559
Phone
Not provided
Address
620 JOHN PAUL JONES CIR
Enumeration Date
14 June 2009
Last Update Date
9 September 2010

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
7576863508
Graduation Year
2009 (17 years ago)
PAC ID
7618209982
Group Practice PAC ID
5092618462
Professional Enrollment ID
I20191106001560
Address ID
VA234351107SU3920XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:16State licenses:0Digital endpointsOther names

1,497 EMERGENCY MEDICINE in VA

Provider Addresses for DR. DEREK JOHN DAVIES (M.D.)

  • 620 JOHN PAUL JONES CIR

    PORTSMOUTH, VA 237082111

    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 3 Open Payments records for all available years, with a total value of $366.

Total Amount is formed as General ($366) + Research ($0) + Ownership ($0) = $366.

Last reported payment date: 2023-06-08 • Largest payer in this snapshot: BrainScope Company, Inc. ($156).

Total Amount

$366

General + Research + Ownership

Payments

3

Total payment records

General Amount

$366

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-08

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: 2019-11-06

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
I20191106001560IEmergency MedicineVATBD

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
99285Emergency department visit with high level of medical decision making277272$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only274265$0
99284Emergency department visit with moderate level of medical decision making107103$0
99291Critical care, first 30-74 minutes7372$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 23708)

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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: 5092618462View full group profile
NameSpecialtyState
Emergency MedicinePA
Emergency MedicineVA
Physician AssistantWV
Emergency MedicineCT
Physician AssistantVA
Emergency MedicineVA
Emergency MedicineOH
Emergency MedicineKY
Physician AssistantVA
Emergency MedicineVA

Reviews

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Frequently asked questions

How do I look up DR. DEREK JOHN DAVIES (M.D.) by NPI?
Use NPI 1205063559 when you need to reference DR. DEREK JOHN DAVIES (M.D.) in forms, claims, or directories.
Is DR. DEREK JOHN DAVIES (M.D.)'s NPI currently valid?
The extract we use shows DR. DEREK JOHN DAVIES (M.D.) as active.
Does DR. DEREK JOHN DAVIES (M.D.) list a primary specialty?
If you are matching referrals, note Student in an Organized Health Care Education/Training Program for DR. DEREK JOHN DAVIES (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. DEREK JOHN DAVIES (M.D.) practice in Virginia?
You will see Portsmouth, Virginia on file for DR. DEREK JOHN DAVIES (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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