Tara Deryavoush, D.O
NPI 1851718092 · Internal Medicine Physician · Mount Clemens, MI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1851718092
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O
- Sex
- Female
- Sole proprietor
- No
- License
- 5101020870 (MI)
Specialties & taxonomies
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
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
579 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 283 | $90 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 92 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 91 | $53 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 48 | $19 |
| Administration of Influenza Virus VaccineG0008 | 20 | $31 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 93 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 339 | 95 |
| Atorvastatin Calcium | 289 | 89 |
| Losartan Potassium | 277 | 75 |
| Metoprolol Succinate | 233 | 66 |
| Amlodipine Besylate | 206 | 64 |
| Rosuvastatin Calcium | 174 | 53 |
| Metformin Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$685 across 37 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 (3)
- 17392 W 13 Mile RdBeverly Hills, MI 48025-5438Phone: (248) 646-8166Fax: (248) 646-8176
- 15855 19 Mile RdClinton Township, MI 48038-3504Phone: (586) 263-2950
- 50505 Schoenherr Rd Ste 340Shelby Township, MI 48315-3140Phone: (586) 731-8400Fax: (586) 731-8406
Registry dates
- Enumerated
- 2014-03-26
- Last updated
- 2022-07-21
- Certified
- 2022-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.