NPPES file of Aug 9, 2026

Kenneth L. Derrington, M.D.

Family Medicine Physician · Gravois Mills, MO

Kenneth L. Derrington, M.D. is a family medicine physician with a practice address in Gravois Mills, Missouri, and NPI 1124023940, issued on Jun 17, 2005. Check the license (Missouri R9A11, as entered in NPPES) on the Missouri Board of Registration for the Healing Arts; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1124023940
Name
Kenneth L. Derrington
Credential
M.D.
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
R9A11 MO
Self-reported in NPPES; status is on the state search
Practice location
156 Missouri Blvd Ste B, Gravois Mills, MO 65037
Phone
(573) 374-5263
Enumerated
Jun 17, 2005
Record last updated
Mar 19, 2018 (not updated in 8 years: call before relying on the address or phone)
Fax
(573) 374-4933
Medicaid ID
201366010 MO
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
Download card Updates feed

8 nearest family medicine physician records → All 2,991 in Missouri → Look up another NPI →

Also registered at 156 Missouri Blvd Ste B

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kimberly Collins, ANPFamily Nurse Practitioner1932203262

Verify Kenneth L. Derrington in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMissouri Board of Registration for the Healing Arts
    Search for license R9A11    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Missouri license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Kenneth L. Derrington among 2,991 family medicine physician records in Missouri

Kenneth L. Derrington, M.D. is one of 2,991 family medicine physician records with a practice address in Missouri. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 87% newer
  • In a Medicare fileNo · 79% of these records are
  • In the CMS Doctors and Clinicians fileNo · 59% of these records are
  • Record last updated2018 · 53% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

3 family medicine physician records list a practice address in Gravois Mills

They are 3 of the 16 NPPES records with a practice address in Gravois Mills, and 2,991 family medicine physician records in Missouri. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 2,991 in Missouri → Every provider in Gravois Mills → Family Medicine Physician nationwide →

The 8 family medicine physician records with the nearest ZIP codes

  1. Brandon Brown, MDGravois Mills, MO 650371225398019
  2. Justin Terrell, M.D.Gravois Mills, MO 650371689986275
  3. Jonathan Privett, M.D.Laurie, MO 650381912945957
  4. Jennifer Allen, M.D.Hermann, MO 650411164547485
  5. Laurel Baumstark, MDHermann, MO 650411184749319
  6. Michael Mahoney, DOHermann, MO 650411497890867
  7. Jeremy Talley, D.O.Hermann, MO 650411184847659
  8. Curtis Dyer, MDHolts Summit, MO 650431235151440

Common questions

What is Kenneth L. Derrington, M.D.'s NPI number?

Kenneth L. Derrington, M.D.'s National Provider Identifier (NPI) is 1124023940, issued on Jun 17, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Kenneth L. Derrington, M.D. located?

The NPPES record lists a practice address at 156 Missouri Blvd Ste B, Gravois Mills, MO, 65037. Phone: (573) 374-5263. Providers update this record themselves, so call before visiting.

How can I verify Kenneth L. Derrington, M.D.'s license?

NPPES lists Missouri license number R9A11, as entered by the provider. Search the Missouri Board of Registration for the Healing Arts at https://www.fsmb.org/contact-a-state-medical-board/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.