DERRICK J SANDERSON NPI 1043577448

NPI Information

  • NPI: 1043577448
  • Provider Name: DERRICK J SANDERSON
  • Classification: Obstetrics & Gynecology - 207VF0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1122 W HIGHWAY 61
    WINONA, MN
    ZIP 55987
  • Phone: (608) 782-7300

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NPI Details

Derrick J Sanderson is an urogynecology and reconstructive pelvic surgery in Winona, MN with 14 years of experience. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. Derrick J Sanderson NPI is 1043577448. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2012

The provider's business location address is:

1122 W HIGHWAY 61
WINONA, MN
ZIP 55987-957
Phone: (608) 782-7300

The NPI 1043577448 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of temporary bladder tube (HCPCS:51701)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
  • Repair of bulging of rectum and bladder into vaginal wall (HCPCS:57265)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS:51784)
  • Insertion of device into abdomen with pressure and urine flow rate study (HCPCS:51797)
  • Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies (HCPCS:51729)

The enumeration date for this NPI number is 4/23/2012 and was last updated on 11/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology283330NEW YORKNo
2207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery02005887AINDIANANo
3207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery81662WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300038901MEDICAIDINDIANA
27100666260MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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