Active NPI 1518905801 Individual Practitioner Male Practitioner

Dr. Derek Kazim Paul , MD

Surgery • Vero Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Derek Paul, MD is a certified Surgery practicing in Vero Beach, FL. With approximately 35 years of clinical experience since graduating from New York Medical College in 1991, Dr. Paul delivers high-quality medical care to the local community at 3735 11TH CIR.

Dr. Paul accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3735 11th Cir
Ste 101

Vero Beach, FL 329604884

Telephone 7725695660

Fax 7725694343

Associated Practice Facility / Clinic

🏢 John M Sarbak Md Pa Facility NPI 1740478684

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Vero Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +3.9 yrs vs City Avg

City Avg: 31.1 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

8 Specialists

Practicing in Vero Beach, FL (2030 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Paul (35 Years) 35 Yrs

Vero Beach Specialty Average (31.1 Years) 31.1 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	247	247	$250.00	$169.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	68	$150.00	$129.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	80	77	$265.00	$172.42
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	48	48	$1000.00	$340.68
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	48	48	$50.00	$18.31
49505 Repair of groin hernia (5 years or older)	41	41	$1330.75	$581.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	28	$121.00	$50.12
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$125.00	$91.68
51703 Complicated insertion of bladder tube	25	24	$192.47	$39.11
44139 Release of large bowel from spleen and abdominal wall	22	21	$886.71	$128.87
47562 Removal of gallbladder using an endoscope	21	21	$1589.83	$579.51
36590 Removal of peripheral venous catheter for infusion	17	17	$500.00	$167.76
49020 Drainage of abdominal abscess or infection, open procedure	16	16	$2534.99	$1395.77
49593 Initial repair of sliding hernia of abdomen, 3-10 cm in length	15	15	$1294.96	$581.57
44145 Partial removal of large bowel and reattachment to rectum	13	13	$2616.19	$1765.86
49520 Repair of trapped groin hernia	11	11	$1457.80	$657.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	223	223	$250.00	$170.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	98	96	$265.00	$178.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	80	$150.00	$130.21
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	60	60	$1000.00	$347.66
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	59	59	$50.00	$18.75
99213 Established patient office or other outpatient visit, typically 15 minutes	46	31	$125.00	$92.04
49505 Repair of groin hernia (5 years or older)	37	37	$1330.75	$561.61
47562 Removal of gallbladder using an endoscope	35	35	$1589.83	$645.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	18	$121.00	$51.72
49593 Initial repair of sliding hernia of abdomen, 3-10 cm in length	28	28	$1325.14	$595.42
51703 Complicated insertion of bladder tube	24	24	$192.47	$39.95
44139 Release of large bowel from spleen and abdominal wall	14	14	$886.71	$131.99
15778 Implantation of artificial material for delayed closure of defects due to soft tissue infection or trauma	13	12	$876.16	$211.88
49507 Repair of trapped groin hernia patient age 5 years or older	12	12	$1408.22	$638.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	235	235	$249.79	$175.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	85	$150.00	$131.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	87	85	$265.00	$204.98
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	44	44	$1000.00	$361.38
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	43	43	$50.00	$19.68
49505 Repair of groin hernia (5 years or older)	38	38	$1330.75	$611.18
47562 Removal of gallbladder using an endoscope	36	36	$1589.83	$701.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	16	$175.00	$73.40
51703 Complicated insertion of bladder tube	27	26	$192.47	$41.20
44139 Release of large bowel from spleen and abdominal wall	21	21	$886.71	$137.39
49560 Repair of incisional or abdominal hernia	16	15	$1576.67	$786.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	15	$121.00	$40.32
44140 Partial removal of large bowel	13	13	$2259.43	$1504.74
36590 Removal of peripheral venous catheter for infusion	11	11	$500.00	$198.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	235	235	$229.26	$176.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	98	$150.00	$135.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	116	112	$265.00	$208.74
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	48	47	$50.00	$20.05
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	48	47	$1000.00	$357.39
47562 Removal of gallbladder using an endoscope	39	39	$1589.83	$699.66
49505 Repair of groin hernia (5 years or older)	38	38	$1330.75	$566.49
51703 Complicated insertion of bladder tube	32	31	$192.47	$41.29
44139 Release of large bowel from spleen and abdominal wall	24	24	$886.71	$137.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	17	$121.00	$39.89
49020 Drainage of abdominal abscess or infection, open procedure	17	17	$2534.99	$1339.43
49560 Repair of incisional or abdominal hernia	16	16	$1576.67	$818.92
44145 Partial removal of large bowel and reattachment to rectum	15	15	$2616.19	$1868.95
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	11	$167.00	$54.92
49585 Repair of hernia at navel (5 years or older)	12	12	$1244.88	$339.55
36590 Removal of peripheral venous catheter for infusion	12	12	$500.00	$200.90
19302 Partial removal of breast and underarm lymph nodes	11	11	$1750.62	$1036.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	226	226	$225.00	$173.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	110	103	$265.00	$213.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	74	$150.00	$113.57
47562 Removal of gallbladder using an endoscope	48	48	$1589.83	$726.62
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	46	44	$1000.00	$362.96
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	45	43	$747.65	$19.98
49505 Repair of groin hernia (5 years or older)	34	34	$1330.75	$612.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	18	$175.00	$76.20
51703 Complicated insertion of bladder tube	30	29	$192.47	$42.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	15	$121.00	$41.72
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	17	$167.00	$55.63
44139 Release of large bowel from spleen and abdominal wall	19	19	$886.71	$140.90
49020 Drainage of abdominal abscess or infection, open procedure	16	16	$2534.99	$1499.05
19302 Partial removal of breast and underarm lymph nodes	16	16	$1828.83	$1043.00
44145 Partial removal of large bowel and reattachment to rectum	11	11	$2616.19	$1905.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	246	246	$225.00	$170.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	117	112	$265.00	$210.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	65	$150.00	$112.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	31	$175.00	$75.82
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	42	42	$1049.90	$360.20
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	42	42	$876.17	$19.71
51703 Complicated insertion of bladder tube	38	38	$192.47	$41.96
47562 Removal of gallbladder using an endoscope	37	37	$1589.83	$708.52
49505 Repair of groin hernia (5 years or older)	31	31	$1330.75	$580.46
44139 Release of large bowel from spleen and abdominal wall	21	21	$886.71	$138.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	12	$121.00	$41.21
36590 Removal of peripheral venous catheter for infusion	17	17	$1074.31	$198.23
44050 Incisional repair of twisted or herniated small bowel	16	16	$1801.99	$700.70
49020 Drainage of abdominal abscess or infection, open procedure	15	15	$2534.99	$1147.48
44120 Partial removal of small bowel	15	15	$2127.11	$1025.46
44145 Partial removal of large bowel and reattachment to rectum	12	12	$2616.19	$1883.02
19302 Partial removal of breast and underarm lymph nodes	12	12	$1750.62	$1019.85
49560 Repair of incisional or abdominal hernia	11	11	$1576.67	$725.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	276	276	$225.00	$170.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	113	111	$265.00	$212.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	81	$150.00	$111.14
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	56	56	$2080.88	$365.14
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	55	55	$867.13	$19.67
51703 Complicated insertion of bladder tube	51	51	$192.47	$41.89
47562 Removal of gallbladder using an endoscope	51	51	$1589.83	$680.40
49505 Repair of groin hernia (5 years or older)	41	41	$1340.78	$565.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	25	$175.00	$76.03
44139 Release of large bowel from spleen and abdominal wall	30	30	$886.71	$139.50
49020 Drainage of abdominal abscess or infection, open procedure	27	27	$2534.99	$1469.89
44145 Partial removal of large bowel and reattachment to rectum	19	19	$2616.19	$1878.04
49560 Repair of incisional or abdominal hernia	16	16	$1633.13	$835.78
21931 Removal of growth under skin of back or lower sides, 3.0 cm or more	15	15	$1279.95	$456.36
49585 Repair of hernia at navel (5 years or older)	14	14	$1244.88	$304.03
44140 Partial removal of large bowel	14	14	$2259.43	$1252.99
19302 Partial removal of breast and underarm lymph nodes	13	13	$1750.62	$1013.58
36590 Removal of peripheral venous catheter for infusion	12	12	$1065.87	$193.88
19301 Partial removal of breast	12	12	$1473.45	$605.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	222	222	$225.00	$170.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	121	111	$264.53	$211.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	82	$150.00	$110.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	47	$175.00	$74.86
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	47	47	$876.17	$19.97
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	47	47	$2047.91	$376.56
47562 Removal of gallbladder using an endoscope	43	43	$1589.83	$681.82
51703 Complicated insertion of bladder tube	36	36	$192.47	$41.55
44139 Release of large bowel from spleen and abdominal wall	33	33	$886.71	$138.61
49505 Repair of groin hernia (5 years or older)	26	26	$1330.75	$584.92
49560 Repair of incisional or abdominal hernia	20	20	$1576.67	$769.82
49020 Drainage of abdominal abscess or infection, open procedure	17	17	$2534.99	$1672.42
44140 Partial removal of large bowel	16	16	$2259.43	$1375.82
44145 Partial removal of large bowel and reattachment to rectum	16	16	$2616.19	$1871.33
44120 Partial removal of small bowel	11	11	$2127.11	$984.71

Medical Specialties & State Licenses

CMS Verified: 2022-06-07

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME0068650

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

251102900 (FL)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. John Sarbak , MD

Plastic Surgery

NPI 1144394701

Doctor of Medicine (M.D.)

Dr. Timothy Caballes , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1215226147

Doctor of Podiatric Medicine

Dr. John Suen , MD

Specialist

NPI 1710987292

Doctor of Medicine (M.D.)

Barbara Baute , ARNP

Nurse Practitioner

NPI 1841643079

Advanced Registered Nurse Practitioner

Dr. Amberly Paradoa , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1962400713

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location June 07, 2022

Registered at 3735 11TH CIR, STE 101, VERO BEACH, FL 329604884 (Tel: 7725695660)

✅

NPI Profile Active October 02, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 02, 2012

Registered at 3735 11TH CIR, SUITE 101, VERO BEACH, FL 329604844 (Tel: 7725695660)

📍

Updated Business Mailing Address October 02, 2012

Registered at 3735 11TH CIR, SUITE 101, VERO BEACH, FL 329604844 (Tel: 7725695660)

👤

Provider Name / Credentials Updated October 02, 2012

Recorded as DEREK PAUL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2012

Surgery (License #ME0068650 in FL)

🟢

Initial NPI Registration & Enumeration June 02, 2006

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: 1518905801

Entity Type:

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

Enumeration Date: June 02, 2006

Last Update: June 07, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3735 11th Cir, Suite 101

Vero Beach, FL 329604844

Phone: 7725695660

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.