Richard Derby, MD
NPI 1295720845 · Sports Medicine (Family Medicine) Physician · O Fallon, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Richard Derby, MD is a Sports Medicine (Family Medicine) Physician provider in O Fallon, IL (NPI 1295720845).
Provider details
- NPI number
- 1295720845
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036126121 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,122 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Aspiration And/Or Injection of Fluid Large Joint Using Ultrasound Guidance20611 | 374 | $118 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 371 | $92 |
| X-Ray of Knee, 3 Views73562 | 113 | $21 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 86 | $17 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 83 | $130 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-20
- Last updated
- 2021-12-29
- Certified
- 2021-12-29
Frequently asked questions
- What is Richard Derby's NPI number?
- Richard Derby's National Provider Identifier (NPI) is 1295720845, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Derby's specialty?
- Richard Derby is listed in the NPPES registry with a primary specialty of Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Richard Derby located?
- Richard Derby's practice location on file with NPPES is 670 Pierce Blvd, O Fallon, IL 62269-2579.
- What is Richard Derby's phone number?
- The practice phone number listed in the NPPES registry for Richard Derby is (618) 206-2094.
- Does Richard Derby accept Medicare?
- Richard Derby is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Richard Derby's NPI active?
- Yes — Richard Derby's NPI (1295720845) is active in the NPPES registry as of the last update on 2021-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.