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Active NPI 1598183196 Individual Practitioner Male Practitioner

Dr. Derek Paul Axibal , MD

Orthopaedic Surgery • Hastings, MI

✓ Accepts Medicare Assignment
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This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Derek Axibal, MD is a registered Orthopaedic Surgery practitioner in Hastings, MI. With approximately 12 years of clinical practice since completing medical education in 2014, Dr. Axibal provides healthcare services at the registered practice location at 840 COOK RD.

Dr. Axibal maintains professional affiliations with Spectrum Health Primary Care Partners, Center For Physical Rehabilitation Inc, Pennock Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, x-ray of shoulder, minimum of 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

840 Cook Rd

Hastings, MI 490589616

Telephone 2699459520
Associated Practice Facility / Clinic
🏢 Hastings Orthopedic Clinic Pc Facility NPI 1346373065

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Hastings, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -13.0 yrs vs City Avg
City Avg: 25.0 Yrs
State Avg: 24.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Hastings, MI (1014 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Axibal (12 Years) 12 Yrs
Hastings Specialty Average (25.0 Years) 25.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
31 26 $228.00 $128.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
16 16 $350.00 $168.05

Medical Specialties & State Licenses

CMS Verified: 2021-03-10
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MI 4301501710

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License NC 2019-00572

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License MI 4301501710

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nsc#
0397730007 (NC)

Hospital & Practice Group Affiliations

Pennock Hospital

840 Cook Rd, Hastings, MI 490589616

Phone: 2699459520

Pennock Hospital

1005 W Green St, Hastings, MI 490581725

Center For Physical Rehabilitation And Therapy Lp

5060 Cascade Rd Se, Grand Rapids, MI 495463808

Pennock Hospital

1009 W Green St, Hastings, MI 490581710

Phone: 2699483129

Center For Physical Rehabilitation Inc

5060 Cascade Rd, Grand Rapids, MI 495463808

Spectrum Health Primary Care Partners

9090 S Rodgers Ct Se A, Caledonia, MI 493168052

Phone: 6168910422

Spectrum Health Primary Care Partners

4444 Kalamazoo Ave Se, Kentwood, MI 495084600

Phone: 6163915600

Center For Physical Rehabilitation Inc

5060 Cascade Rd, Grand Rapids, MI 495463808

Center For Physical Rehabilitation And Therapy Lp

5060 Cascade Rd Se, Grand Rapids, MI 495463808

Practice Associates & Co-Workers

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

8 Associated Practitioners
Daniel Blasch , PA-C

Physician Assistant

NPI 1043851132

Physician Assistant (Certified)

Dr. Bryan Kamps , MD

Orthopaedic Surgery

NPI 1144290172

Doctor of Medicine (M.D.)

Dr. Eric Leep , DO

Physical Medicine & Rehabilitation

NPI 1205872959

Doctor of Osteopathic Medicine (D.O.)

Susan Haasch , OT

Occupational Therapist

NPI 1245271196

Occupational Therapist

Dr. Kenneth Merriman , MD

Orthopaedic Surgery

NPI 1467480152

Doctor of Medicine (M.D.)

Collin Ludmer , PA

Physician Assistant

NPI 1598164725

Physician Assistant

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2021

Orthopaedic Surgery (License #4301501710 in MI)

📍
Updated Practice Location September 30, 2020

Registered at 840 COOK RD, HASTINGS, MI 490589616 (Tel: 2699459520)

📍
Updated Business Mailing Address September 30, 2020

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560

📍
Updated Practice Location August 01, 2019

Registered at 1915 RANDOLPH RD, CHARLOTTE, NC 282071101 (Tel: 7043233003)

📍
Updated Business Mailing Address August 01, 2019

Registered at 4601 PARK RD STE 300, CHARLOTTE, NC 282092290 (Tel: 7043232505)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2019

Orthopaedic Surgery (License #2019-00572 in NC)

NPI Profile Active April 01, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2014

Registered at 13001 E 17TH PL, UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME, AURORA, CO 800452570 (Tel: 2246221300)

📍
Updated Business Mailing Address April 01, 2014

Registered at 156 LAFAYETTE AVE NE, GRAND RAPIDS, MI 495035653 (Tel: 2246221300)

👤
Provider Name / Credentials Updated April 01, 2014

Recorded as DEREK AXIBAL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 01, 2014

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: 1598183196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2014
Last Update: March 10, 2021
Sole Proprietor: No

Mailing Address

100 Michigan St Ne # Mc845

Grand Rapids, MI 495032560

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.