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Active NPI 1104593060 Individual Practitioner Male Practitioner

Robert John Derby , NP

Nurse Practitioner • Beloit, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Robert Derby, NP is a certified Nurse Practitioner practicing in Beloit, WI. With approximately 5 years of clinical experience since completing medical education in 2021, Robert Derby delivers high-quality medical care to the local community at BELOIT CLINIC.

Robert Derby is affiliated with Beloit Health System Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

Beloit Clinic
1905 E Huebbe Parkway

Beloit, WI 535111842

Telephone 6083641640
Fax 6083637393

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Beloit, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -3.2 yrs vs City Avg
City Avg: 8.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
37 Specialists

Practicing in Beloit, WI (4030 Statewide)

Telehealth Adoption Rate
2.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Derby (5 Years) 5 Yrs
Beloit Specialty Average (8.2 Years) 8.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails
88 37 $110.00 $18.60
11721 Removal of fingernails or toenails, 6 or more nails
73 27 $110.00 $19.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
55 22 $50.98 $27.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
27 12 $51.00 $29.16
99213 Established patient office or other outpatient visit, typically 15 minutes
26 18 $124.92 $52.01

Medical Specialties & State Licenses

CMS Verified: 2022-06-16
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 11369-33

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 209024153

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WI 11369-33

Definition to come...

Hospital & Practice Group Affiliations

Beloit Health System Inc

1905 E Huebbe Pkwy, Beloit, WI 535111842

Phone: 6083642200

Beloit Health System Inc

5605 E Rockton Rd, Roscoe, IL 610737641

Phone: 8155254930

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1427074541

Doctor of Podiatric Medicine

NPI 1508973405

Doctor of Medicine (M.D.)

Dr. James Whelan , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1578983144

Doctor of Podiatric Medicine

NPI 1871523316

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location December 04, 2023

Registered at BELOIT CLINIC, 1905 E HUEBBE PARKWAY, BELOIT, WI 535111842 (Tel: 6083641640)

📍
Updated Business Mailing Address December 04, 2023

Registered at BELOIT HEALTH SYSTEMS INC, 1969 W HART ROAD, BELOIT, WI 535112230 (Tel: 6083642293)

👤
Provider Name / Credentials Updated December 04, 2023

Recorded as ROBERT DERBY, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2023

Nurse Practitioner (License #209024153 in IL)

📍
Updated Business Mailing Address April 17, 2022

Registered at 2500 OVERLOOK TER, MADISON, WI 537052286 (Tel: 6082934015)

📍
Updated Practice Location April 04, 2022

Registered at 1141 BLACK BRIDGE RD, JANESVILLE, WI 535451092 (Tel: 6087589300)

NPI Profile Active August 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2021

Registered at 1700 30TH AVE APT 7, MONROE, WI 535663161 (Tel: 6082934015)

📍
Updated Business Mailing Address August 26, 2021

Registered at 1700 30TH AVE APT 7, MONROE, WI 535663161 (Tel: 6082934015)

👤
Provider Name / Credentials Updated August 26, 2021

Recorded as ROBERT DERBY, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2021

Nurse Practitioner (License #223808-30 in WI)

🟢
Initial NPI Registration & Enumeration August 26, 2021

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: 1104593060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2021
Last Update: December 04, 2023
Sole Proprietor: No

Mailing Address

Beloit Health Systems Inc, 1969 W Hart Road

Beloit, WI 535112230

Phone: 6083642293

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.