2026 NPPES data Emergency Medicine Physician NPI 1992001804 M.D.
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DEREK AILES, M.D.

Emergency Medicine Physician in WALNUT CREEK, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
283
Medicare Part D claims · 206 beneficiaries · Emergency Medicine Physician avg: 352
What the federal data reveals: DEREK AILES, M.D. is a Emergency Medicine Physician ([object Object]) practicing in WALNUT CREEK, California with a Medicare Part D prescribing footprint of 283 claims across 206 beneficiaries .

What stands out: DEREK AILES, M.D. filed 283 Medicare Part D claims in 2023 across WALNUT CREEK, California. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

DEREK AILES, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

DEREK AILES, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 02/10/2011

NPI 1992001804

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

283 20% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in California

How Emergency Medicine Physician compares to other specialties among California providers

California providers

Emergency Medicine Physician share within California

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within California

Specialty board-certification context

Estimated specialty board-certified rate — Emergency Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Emergency Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DEREK AILES, M.D. is a Emergency Medicine Physician provider practicing in WALNUT CREEK, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1992001804. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DEREK AILES, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 1425 S MAIN ST, WALNUT CREEK, CA, 94596, with a listed phone of (925) 295-4000. NPI 1992001804 was issued on 02/10/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AILES most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 283 prescription claims written by this provider, covering 206 Medicare beneficiaries and totaling roughly $11K in drug spend, with an opioid prescribing rate of 10.2%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1425 S MAIN ST
WALNUT CREEK, CA 94596

Provider Details

NPI 1992001804
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 02/10/2011

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to DEREK AILES, M.D.. To verify DEREK AILES, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

283
Total Claims
$11K
Total Drug Cost
206
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
295
Total Day Supply
3,743
Generic Drug Cost
$3K
Opioid Claims
29 (10.2% rate)
Antibiotic Claims
87

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.49
Gender Split
64% female / 36% male
Age Distribution
<65: 20, 65-74: 86, 75-84: 71, 85+: 29

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Ibuprofen
21
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
20
Prednisone
19
Doxycycline Monohydrate
12
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
11
Cefadroxil
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Emergency Medicine Physician Overview

How DEREK AILES, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

DEREK AILES, M.D.'s 283 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as AILES.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DEREK AILES, M.D.'s specialty?
DEREK AILES, M.D. specializes in Emergency Medicine Physician and practices in WALNUT CREEK, California. Credentials: M.D..
How much does DEREK AILES, M.D. prescribe under Medicare Part D?
In 2023, DEREK AILES, M.D. wrote 283 Medicare Part D claims totaling $11K in drug costs for 206 beneficiaries.
Where is DEREK AILES, M.D. located?
DEREK AILES, M.D. is located at 1425 S MAIN ST, WALNUT CREEK, CA, 94596. Phone: (925) 295-4000.
What is DEREK AILES, M.D.'s NPI number?
DEREK AILES, M.D.'s National Provider Identifier (NPI) is 1992001804, issued on 02/10/2011.
Does DEREK AILES, M.D. prescribe opioids?
Yes, DEREK AILES, M.D. had 29 opioid claims in 2023 with an opioid prescribing rate of 10.2%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does DEREK AILES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DEREK AILES, M.D.'s most frequently prescribed drugs include Ibuprofen, Hydrocodone-Acetaminophen, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DEREK AILES, M.D. accept Medicare?
DEREK AILES, M.D. appears in CMS Medicare data with 283 Part D claims and 206 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DEREK AILES, M.D.'s credentials?
DEREK AILES, M.D.'s NPI is 1992001804 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology