DR. FRED J DERY MD NPI 1457569188

NPI Information

  • NPI: 1457569188
  • Provider Name: DR. FRED J DERY, MD
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2301 STEINDLER WAY STE B
    NORTH LIBERTY, IA
    ZIP 52317
  • Phone: (319) 338-3606

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NPI Details

DR. Fred J Dery, MD is an interventional pain medicine pain medicine in North Liberty, IA with 21 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DR. Fred J Dery, MD NPI is 1457569188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

2301 STEINDLER WAY STE B
NORTH LIBERTY, IA
ZIP 52317-907
Phone: (319) 338-3606
Fax: (319) 338-0522

The NPI 1457569188 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, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS:Q9966)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of upper or middle spine facet joint using imaging guidance, second level (HCPCS:64491)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64634)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • X-ray lower and sacral spine, 2-3 views bending views (HCPCS:72120)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)

The enumeration date for this NPI number is 5/18/2007 and was last updated on 3/28/2025.

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
1208VP0000XPain MedicinePain Medicine38968IOWANo
2208VP0014XPain MedicineInterventional Pain Medicine38968IOWAYes

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
11457569188MEDICAIDIOWA
2I75560005OTHERIOWAMEDICARE 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: 11/21/2025

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