Active NPI 1760463525 Individual Practitioner Male Practitioner

Dr. James A Derby , MD

Hospitalist • Niceville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Derby, MD is a certified Hospitalist practicing in Niceville, FL. With approximately 44 years of clinical experience since graduating from University Of Missouri, Columbia School Of Medicine in 1982, Dr. Derby delivers high-quality medical care to the local community at 2190 HIGHWAY 85 N.

Dr. Derby is affiliated with Hospital Medicine Services Of Fl, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2190 Highway 85 N

Niceville, FL 325781045

Telephone 8506784181

Fax 8507299418

Associated Practice Facility / Clinic

🏢 Sterling Emergency Services Of Florida, Pa Facility NPI 1144215195

Medicare Profile & Education

Medical School

University Of Missouri, Columbia School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Niceville, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs Matches City Avg

City Avg: 44.0 Yrs

State Avg: 19.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Niceville, FL (1826 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Derby (44 Years) 44 Yrs

Niceville Specialty Average (44.0 Years) 44.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	525	218	$572.00	$115.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	278	139	$398.00	$76.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	246	229	$1107.00	$168.65
99239 Hospital discharge day management, more than 30 minutes	203	188	$592.00	$110.17
99291 Critical care, first 30-74 minutes	185	77	$1217.00	$210.00
99238 Hospital discharge day management, 30 minutes or less	65	63	$406.00	$78.71
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	11	11	$1180.00	$192.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	671	306	$367.82	$80.03
99291 Critical care, first 30-74 minutes	244	109	$1408.98	$217.11
99239 Hospital discharge day management, more than 30 minutes	228	215	$538.54	$115.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	182	169	$967.23	$175.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	172	164	$752.36	$132.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	146	83	$540.18	$120.40
99238 Hospital discharge day management, 30 minutes or less	137	130	$379.14	$81.28
99292 Critical care, each additional 30 minutes	24	22	$768.50	$109.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	899	353	$370.00	$103.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	347	312	$785.00	$200.07
99291 Critical care, first 30-74 minutes	262	103	$1850.00	$223.18
99239 Hospital discharge day management, more than 30 minutes	241	228	$362.00	$105.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	116	73	$273.00	$72.13
99238 Hospital discharge day management, 30 minutes or less	51	50	$291.00	$71.98
99292 Critical care, each additional 30 minutes	31	29	$925.00	$111.90
99220 Hospital observation care, typically 70 minutes	30	30	$1723.00	$181.37
99217 Hospital observation care on day of discharge	17	16	$675.00	$72.20
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	13	13	$2029.00	$213.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	785	300	$370.00	$105.02
99291 Critical care, first 30-74 minutes	358	121	$1850.00	$227.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	169	105	$273.00	$73.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	143	133	$785.00	$202.82
99239 Hospital discharge day management, more than 30 minutes	140	132	$362.00	$107.75
99238 Hospital discharge day management, 30 minutes or less	76	74	$291.00	$72.54
99220 Hospital observation care, typically 70 minutes	64	63	$1723.00	$183.24
99217 Hospital observation care on day of discharge	36	35	$675.00	$73.10
99226 Subsequent observation care, typically 35 minutes per day	29	26	$973.00	$105.14
99292 Critical care, each additional 30 minutes	29	24	$925.00	$114.25
99225 Subsequent observation care, typically 25 minutes per day	12	12	$673.00	$73.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$643.00	$138.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	465	204	$370.00	$105.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	275	144	$273.00	$73.23
99291 Critical care, first 30-74 minutes	238	91	$1850.00	$228.96
99239 Hospital discharge day management, more than 30 minutes	121	115	$362.00	$107.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	117	110	$785.00	$206.12
99238 Hospital discharge day management, 30 minutes or less	48	47	$291.00	$73.56
99220 Hospital observation care, typically 70 minutes	36	36	$1723.00	$189.26
99217 Hospital observation care on day of discharge	20	20	$675.00	$73.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$643.00	$140.84
99226 Subsequent observation care, typically 35 minutes per day	11	11	$973.00	$101.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	513	240	$370.00	$104.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	504	256	$273.00	$73.07
99291 Critical care, first 30-74 minutes	169	85	$1850.00	$225.45
99239 Hospital discharge day management, more than 30 minutes	119	112	$362.00	$107.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	107	102	$785.00	$203.30
99238 Hospital discharge day management, 30 minutes or less	69	67	$291.00	$73.07
99220 Hospital observation care, typically 70 minutes	39	38	$1723.00	$186.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$643.00	$137.87
99217 Hospital observation care on day of discharge	21	20	$675.00	$73.11
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	20	19	$48.00	$14.85
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	16	16	$71.00	$21.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	627	276	$370.00	$102.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	606	293	$273.00	$71.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	248	227	$785.00	$199.36
99291 Critical care, first 30-74 minutes	152	73	$1850.00	$221.07
99239 Hospital discharge day management, more than 30 minutes	150	139	$362.00	$104.60
99220 Hospital observation care, typically 70 minutes	67	64	$1723.00	$181.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	55	$643.00	$135.21
99238 Hospital discharge day management, 30 minutes or less	53	51	$291.00	$71.81
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	21	21	$71.00	$21.03
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	17	16	$2029.00	$215.34
99219 Hospital observation care, typically 50 minutes	16	16	$1260.00	$134.29
99217 Hospital observation care on day of discharge	16	16	$675.00	$68.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	354	149	$362.73	$103.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	223	127	$268.28	$72.26
99239 Hospital discharge day management, more than 30 minutes	119	114	$355.71	$104.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	109	100	$772.44	$201.54
99291 Critical care, first 30-74 minutes	71	39	$1830.17	$225.61
99220 Hospital observation care, typically 70 minutes	61	60	$1693.43	$186.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$624.59	$137.56
99217 Hospital observation care on day of discharge	26	26	$662.69	$72.75
99238 Hospital discharge day management, 30 minutes or less	24	23	$286.92	$72.27

Medical Specialties & State Licenses

CMS Verified: 2023-05-09

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License FL ME80573

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License FL ME80573

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License FL ME80573

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

259858200 (FL)

Commercial Insurance / Payer ID Bcbs Al

059185372 (AL)

Commercial Insurance / Payer ID Bcbs Al

059185483 (AL)

Commercial Insurance / Payer ID Bc/bs Fl

51635 (FL)

Commercial Insurance / Payer ID Bcbs Fl

97861 (FL)

Hospital & Practice Group Affiliations

Hospital Medicine Services Of Fl, Llc

2190 Hwy 85 N, Niceville, FL 325781045

Phone: 8507299468

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Paul Hart , MD

Emergency Medicine

NPI 1629021415

Doctor of Medicine (M.D.)

Dr. Louis Vagias , MD

Family Medicine

NPI 1881675544

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address May 09, 2023

Registered at 457 RUCKEL DR, NICEVILLE, FL 325781782 (Tel: 8504963096)

✅

NPI Profile Active March 25, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location March 25, 2009

Registered at 2190 HIGHWAY 85 N, NICEVILLE, FL 325781045 (Tel: 8506784181)

📍

Updated Business Mailing Address March 25, 2009

Registered at 2190 HIGHWAY 85 N, NICEVILLE, FL 325781045 (Tel: 8506784181)

👤

Provider Name / Credentials Updated March 25, 2009

Recorded as JAMES DERBY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2009

Emergency Medicine (License #ME80573 in FL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2009

Family Medicine (License #ME80573 in FL)

🟢

Initial NPI Registration & Enumeration November 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760463525

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 09, 2005

Last Update: May 09, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

457 Ruckel Dr

Niceville, FL 325781782

Phone: 8504963096

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.