Richard Derby, MD
Sports Medicine (Family Medicine) Physician · O Fallon, IL
Richard Derby, MD is a sports medicine (family medicine) physician with a practice address in O Fallon, Illinois, and NPI 1295720845, issued on Sep 20, 2005. Check the license (Illinois 036126121, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Richard Derby
- Credential
- MD
- Primary taxonomy
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License number
- 036126121 IL
Self-reported in NPPES; status is on the state search - Practice location
- 670 Pierce Blvd, O Fallon, IL 62269
- Phone
- (618) 206-2094
- Enumerated
- Sep 20, 2005
- Record last updated
- Dec 29, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20110317000893); accepts Medicare assignment
- Medical or professional school
- University Of Vermont College Of Medicine, 1994
- Entity
- Type 1 · individual
8 nearest sports medicine (family medicine) physician records → All 121 in Illinois → Look up another NPI →
Also registered at 670 Pierce Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Saba Bajwa, MDPediatrics Physician1487113478
- Amy Buck, APNFamily Nurse Practitioner1053587402
- Kimberly Burgess, AGNP-CNurse Practitioner1164956066
- Shaelin Heiman, PA-CPhysician Assistant1336832880
- Kody HindmanPhysician Assistant1295378610
- Michael Hohm, PA-CPhysician Assistant1114542404
Verify Richard Derby in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036126121Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
96% fewer Medicare Part D claims than the average sports medicine (family medicine) physician in 2024
33 Medicare Part D claims for 20 beneficiaries, against an average of 855 among the 2,237 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 94.6 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Hshs Medical Group IncFairview Heights, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Richard Derby among 121 sports medicine (family medicine) physician records in Illinois
Richard Derby, MD is one of 121 sports medicine (family medicine) physician records with a practice address in Illinois. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 92% newer
- In a Medicare fileYes · 88% of these records are
- In the CMS Doctors and Clinicians fileYes · 79% of these records are
- Graduated1994 · median 2011 among the 95 with a school on file
- Record last updated2021 · 44% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207QS0010X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Sports Medicine (Family Medicine) Physician providers in Illinois
There are 121 sports medicine (family medicine) physician records in Illinois.
All 121 in Illinois → Every provider in O Fallon → Sports Medicine (Family Medicine) Physician nationwide →
The 8 sports medicine (family medicine) physician records with the nearest ZIP codes
- Kaleb Kremsreiter, MDO Fallon, IL 622691144968827
- Ahmed Radwan, M.D.O Fallon, IL 622691376575126
- Nelson Shreve, MDO Fallon, IL 622691720541527
- Tracy Hall, D.O.Greenville, IL 622461659366102
- Anthony Biggs, DOQuincy, IL 623011356560403
- Ezhiludai Nambi Ramamoorthy, MD, MBBSQuincy, IL 623011609218882
- David Park, MDQuincy, IL 623051356904866
- Matthew Moslener, MDBelleville, IL 622201609003391
Common questions
What is Richard Derby, MD's NPI number?
Richard Derby, MD's National Provider Identifier (NPI) is 1295720845, issued on Sep 20, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Richard Derby, MD located?
The NPPES record lists a practice address at 670 Pierce Blvd, O Fallon, IL, 62269. Phone: (618) 206-2094. Providers update this record themselves, so call before visiting.
How can I verify Richard Derby, MD's license?
NPPES lists Illinois license number 036126121, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Richard Derby, MD prescribe under Medicare Part D?
In 2024, Richard Derby, MD had 33 Medicare Part D claims for 20 beneficiaries; the average among sports medicine (family medicine) physician prescribers was 855. Part D covers Medicare prescriptions only.
What is Richard Derby, MD's MIPS final score?
The 2023 MIPS final score is 94.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
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.