Brent Deragisch, DDS
NPI 1164643292 · Dentist · St Cloud, MN
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brent Deragisch, DDS is a Dentist provider in St Cloud, MN (NPI 1164643292).
Provider details
- NPI number
- 1164643292
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 11953 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
19 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$13 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2007-07-08
Frequently asked questions
- What is Brent Deragisch's NPI number?
- Brent Deragisch's National Provider Identifier (NPI) is 1164643292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brent Deragisch's specialty?
- Brent Deragisch is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Brent Deragisch located?
- Brent Deragisch's practice location on file with NPPES is 1500 Northway Drive, St Cloud, MN 56303.
- What is Brent Deragisch's phone number?
- The practice phone number listed in the NPPES registry for Brent Deragisch is (320) 253-7700.
- Does Brent Deragisch accept Medicare?
- Brent Deragisch is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brent Deragisch's NPI active?
- Yes — Brent Deragisch's NPI (1164643292) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.