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Active NPI 1073075222 Individual Practitioner Male Practitioner

Dr. Patrick Derby , DPM

Podiatrist • Tampa, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Derby, DPM is a certified Podiatrist practicing in Tampa, FL. With approximately 7 years of clinical experience since graduating from California School Of Podiatric Medicine in 2019, Dr. Derby delivers high-quality medical care to the local community at 4700 N HABANA AVE STE 400.

Dr. Derby is affiliated with All Podiatry Group Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of fingernails or toenails, removal of noncancer thickened skin growth, 2-4 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4700 N Habana Ave Ste 400

Tampa, FL 336147119

Telephone 8134990774
Associated Practice Facility / Clinic
🏢 All Podiatry Group Inc Facility NPI 1437207933

Medicare Profile & Education

Medical School

California School Of Podiatric Medicine

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Tampa, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -13.5 yrs vs City Avg
City Avg: 20.5 Yrs
State Avg: 25.3 Yrs
Regional Practice Density
36 Specialists

Practicing in Tampa, FL (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Derby (7 Years) 7 Yrs
Tampa Specialty Average (20.5 Years) 20.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
101 44 $214.00 $121.36
11721 Removal of fingernails or toenails, 6 or more nails
89 38 $90.00 $42.94
99213 Established patient office or other outpatient visit, typically 15 minutes
68 29 $145.00 $84.24
11056 Removal of noncancer thickened skin growth, 2-4 growths
53 25 $115.00 $77.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
48 48 $332.00 $163.47
73630 X-ray of foot, minimum of 3 views
42 27 $57.00 $30.99
11055 Removal of single thickened skin growth
24 13 $94.00 $66.96

Medical Specialties & State Licenses

CMS Verified: 2025-03-10
Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License FL PO4422

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Podiatrist - Primary Podiatric Medicine

NUCC Taxonomy Code: 213EP1101X

State License FL PO4422

Definition to come...

Podiatrist - Sports Medicine

NUCC Taxonomy Code: 213ES0000X

State License FL PO4422

Definition to come...

Podiatrist - Foot & Ankle Surgery

NUCC Taxonomy Code: 213ES0103X

State License FL PO4422

Definition to come...

Podiatrist - Foot Surgery

NUCC Taxonomy Code: 213ES0131X

State License FL PO4422

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
114530400 (FL)
Commercial Insurance / Payer ID Caqh Id
15659126
Commercial Insurance / Payer ID Aetna
6605657 (FL)
Commercial Insurance / Payer ID Bcbs
OPOAV (FL)
Commercial Insurance / Payer ID Cigna Id
7333506 (FL)

Hospital & Practice Group Affiliations

All Podiatry Group Inc.

560 Jackson St N, St Petersburg, FL 337051449

Phone: 7278003387

Secondary Practice Locations

560 Jackson St N Ste 120

St Petersburg, FL 337051449

Phone: 7278003387

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1548683667

Doctor of Podiatric Medicine

NPI 1558822502

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

16 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2025

Podiatrist (License #PO4422 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2025

Podiatrist (License #PO4422 in FL)

📍
Updated Practice Location August 12, 2024

Registered at 4700 N HABANA AVE STE 400, TAMPA, FL 336147119 (Tel: 8134990774)

📍
Updated Business Mailing Address February 19, 2024

Registered at 15815 SHADDOCK DR STE 130, WINTER GARDEN, FL 347875773 (Tel: 8134001140)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2023

Podiatrist (License #PO4422 in FL)

📍
Updated Practice Location January 31, 2023

Registered at 2511 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 336076301 (Tel: 8138797850)

📍
Updated Business Mailing Address January 31, 2023

Registered at 2511 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 336076301 (Tel: 8138797850)

👤
Provider Name / Credentials Updated January 31, 2023

Recorded as PATRICK DERBY, DPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2023

Podiatrist (License #PO4422 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2021

Podiatrist (License #5951001352 in MI)

NPI Profile Active April 04, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 04, 2019

Registered at 15855 19 MILE RD, CLINTON TOWNSHIP, MI 480383504 (Tel: 5862632300)

📍
Updated Business Mailing Address April 04, 2019

Registered at 15855 19 MILE RD, CLINTON TOWNSHIP, MI 480383504

👤
Provider Name / Credentials Updated April 04, 2019

Recorded as PATRICK DERBY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 04, 2019

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: 1073075222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2019
Last Update: March 10, 2025
Sole Proprietor: No

Mailing Address

15815 Shaddock Dr Ste 130

Winter Garden, FL 347875773

Phone: 8134001140

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.