DR. DERECK A. PEERY D.O. NPI 1164543203

NPI Information

  • NPI: 1164543203
  • Provider Name: DR. DERECK A. PEERY, D.O.
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 915 10TH AVE NW
    ARDMORE, OK
    ZIP 73401
  • Phone: (580) 223-7200

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NPI Details

DR. Dereck A. Peery, D.O. is an orthopaedic surgery of the spine orthopaedic surgery in Ardmore, OK with 24 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. DR. Dereck A. Peery, D.O. NPI is 1164543203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduation Year:2001

The provider's business location address is:

915 10TH AVE NW
ARDMORE, OK
ZIP 73401-025
Phone: (580) 223-7200
Fax: (580) 223-7207

The NPI 1164543203 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
  • Placement of stabilizing device to back of 1 spine bone in neck (HCPCS:22840)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance (HCPCS:22513)
  • Spinal fusion (HCPCS:NAN02)
  • Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 4/3/2007 and was last updated on 7/23/2009.

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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine4546OKLAHOMAYes

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
1OK700279MEDICARE PINOKLAHOMA
2200124470AMEDICAIDOKLAHOMA
3243727010MEDICARE PIN
4P00442554OTHERRAILROAD MEDICARE
5OK700279OTHEROKLAHOMAINDIVIDUAL PTAN

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: 3/30/2025

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