Theodore Derse, MD
NPI 1336254515 · Family Medicine Physician · Zebulon, NC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Derse, MD is a Family Medicine Physician provider in Zebulon, NC (NPI 1336254515).
Provider details
- NPI number
- 1336254515
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 34915 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
283 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 114 | $84 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 55 | $120 |
| Automated Urinalysis Test81003 | 38 | $2 |
| X-Ray of Chest, 2 Views71046 | 34 | $31 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 16 | $104 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus and Influenza87428 | 15 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 59 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 114 | 52 |
| Amlodipine Besylate | 103 | 49 |
| Levothyroxine Sodium | 85 | 29 |
| Losartan Potassium | 70 | 31 |
| Rosuvastatin Calcium | 63 | 21 |
| Lisinopril | 60 | 32 |
| Albuterol Sulfate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$295 across 15 records (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
Additional practice locations (1)
- 3115 Lewis AveZion, IL 60099-3099Phone: (847) 746-3752Fax: (847) 746-9144
Registry dates
- Enumerated
- 2006-08-20
- Last updated
- 2024-03-25
- Certified
- 2024-03-25
Frequently asked questions
- What is Theodore Derse's NPI number?
- Theodore Derse's National Provider Identifier (NPI) is 1336254515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Derse's specialty?
- Theodore Derse is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Derse located?
- Theodore Derse's practice location on file with NPPES is 1260 N Arendell Ave, Zebulon, NC 27597-8730.
- What is Theodore Derse's phone number?
- The practice phone number listed in the NPPES registry for Theodore Derse is (919) 235-1965.
- Does Theodore Derse accept Medicare?
- Theodore Derse is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Derse's NPI active?
- Yes — Theodore Derse's NPI (1336254515) is active in the NPPES registry as of the last update on 2024-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.