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Active NPI 1447416896 Individual Practitioner Male Practitioner

Dr. Derek Mikael Sorensen , MD

Emergency Medicine • Wright Patterson Afb, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Derek Sorensen, MD is a certified Emergency Medicine practicing in Wright Patterson Afb, OH. With approximately 20 years of clinical experience since graduating from Loma Linda University School Of Medicine in 2006, Dr. Sorensen delivers high-quality medical care to the local community at 4881 SUGAR MAPLE DR.

Dr. Sorensen maintains professional affiliations with Kettering Independent Medical Group Inc, Phs Emergency Billing Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Telephone 9372570770
Associated Practice Facility / Clinic
🏢 United States Air Force Facility NPI 1407842347

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Wright Patterson Afb, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +4.1 yrs vs City Avg
City Avg: 15.9 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
28 Specialists

Practicing in Wright Patterson Afb, OH (3084 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sorensen (20 Years) 20 Yrs
Wright Patterson Afb Specialty Average (15.9 Years) 15.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
29 17 $456.00 $216.49

Medical Specialties & State Licenses

CMS Verified: 2025-04-21
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OH 35.127329

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.

Internal Medicine - Critical Care Medicine

NUCC Taxonomy Code: 207RC0200X

State License OH 35.127329

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License MI 4301093367

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.

Hospital & Practice Group Affiliations

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Phs Emergency Billing Llc

1 Wyoming St, Dayton, OH 454092722

Phone: 9372088000

Kettering Independent Medical Group Inc

3535 Pentagon Blvd, Beavercreek, OH 454311705

Kettering Independent Medical Group Inc

3535 Pentagon Park Blvd, Dayton, OH 454311705

Phone: 9374902264

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Secondary Practice Locations

3535 Southern Blvd

Kettering, OH 454291221

Phone: 9373958166

3535 Pentagon Blvd

Beavercreek, OH 454311705

Phone: 9377024500

Practice Associates & Co-Workers

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

25 Associated Practitioners
Dr. Katelyn Marilao , MD

Emergency Medicine

NPI 1013603810

Doctor of Medicine (M.D.)

Dr. Eric Mozeleski , DO

Emergency Medicine

NPI 1023212396

Doctor of Osteopathic Medicine (D.O.)

Stephen Martin , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1043447899
Dr. Vincent Marsh , MD

Emergency Medicine

NPI 1053843870

Doctor of Medicine (M.D.)

Dr. Meagan Verbillion , DO

Emergency Medicine

NPI 1083031116

Doctor of Osteopathic Medicine (D.O.)

Dr. Matthew Sheneman , DO

Emergency Medicine

NPI 1144806506

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2025

Internal Medicine (License #35.127329 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2024

Emergency Medicine (License #4301093367 in MI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2020

Emergency Medicine (License #35.127329 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2020

Internal Medicine (License #35127329 in OH)

📍
Updated Practice Location April 14, 2018

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9372570770)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2018

Emergency Medicine (License #35.127329 in OH)

📍
Updated Business Mailing Address March 28, 2018

Registered at 88 MDG, 4881 SUGAR MAPLE DR, WRIGHT-PATTERSON AFB, OH 454335529 (Tel: 9372570770)

NPI Profile Active March 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 09, 2016

Registered at 110 IRVING ST NW, WASHINGTON, DC 200103017 (Tel: 2028777000)

📍
Updated Business Mailing Address March 09, 2016

Registered at 33W RAHN RD, DAYTON, OH 454292219 (Tel: 9374338990)

👤
Provider Name / Credentials Updated March 09, 2016

Recorded as DEREK SORENSEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2016

Emergency Medicine (License #MD041632 in DC)

🟢
Initial NPI Registration & Enumeration August 05, 2008

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: 1447416896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2008
Last Update: April 21, 2025
Sole Proprietor: No

Mailing Address

88 Mdg, 4881 Sugar Maple Dr

Wright-Patterson Afb, OH 454335529

Phone: 9372570770

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.