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Dr. John P. Dervan

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NPI Number Detailed Information

Provider Information:

Name: Dr. John P. Dervan
Gender: M
Provider License Number If Given: 166207

NPI Information:

NPI: 1871524439
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/5/2006

Last Update Date: 1/25/2022

Reputation Report:

Provider Business Mailing Address:

Address: 100 NICOLLS RD # T-16030
Stony Brook, NY 11794
Phone Number: 6314443655
Fax Number: 6314441054

Provider Business Practice Location Address:

Address: 100 NICOLLS RD # T-16030
Stony Brook, NY 11794
Phone Number: 6314443655
Fax Number: 6314441054

Provider Taxonomy:

Primary: 207RI0011X
Secondary (if any): 207RC0000X
State: NY

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About Dr. John P. Dervan

Dr. John P. Dervan (DR. JOHN P. DERVAN ) is An Internal Medicine Physician in Stony Brook, NY. The NPI Number for Dr. John P. Dervan is 1871524439.
The current location address for Dr. John P. Dervan is 100 NICOLLS RD # T-16030 Stony Brook, NY 11794 and the contact number is 6314443655 and fax number is 6314441054. The mailing address for Dr. John P. Dervan is 100 NICOLLS RD # T-16030 Stony Brook, NY 11794- 6314443655 (mailing address contact number - 6314443655).
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. John P. Dervan ?


Answer: The NPI Number for Dr. John P. Dervan is 1871524439

Where is Dr. John P. Dervan located?


Answer: Dr. John P. Dervan is located at 100 NICOLLS RD # T-16030 Stony Brook, NY 11794.

What is the specialty for Dr. John P. Dervan ?


Answer: The Specialty of Dr. John P. Dervan is An Internal Medicine Physician.

Are there any online reviews for Dr. John P. Dervan ?


Answer: Yes! Check It Now.

Are there any other health care providers in Stony Brook, NY?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. John P. Dervan

Number of HCPCS 7
Number of Medicare Beneficiaries 73
Number of Services 185
Total Submitted Charge Amount 42135
Total Medicare Allowed Amount 18427.22
Total Medicare Payment Amount 14749.69
Total Medicare Standardized Payment Amount 12242.61
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 7
Number of Medicare Beneficiaries With Medical 73
Number of Medical Services 185
Total Medical Submitted Charge Amount 42135
Total Medical Medicare Allowed Amount 18427.22
Total Medical Medicare Payment Amount 14749.69
Total Medical Medicare Standardized Payment Amount 12242.61
Average Age of Beneficiaries 79
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 23
Number of Beneficiaries Age 75 to 84 28
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 26
Number of Male Beneficiaries 47
Number of Non-Hispanic White Beneficiaries 62
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.52
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.37
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.22
Percent (%) of Beneficiaries Identified With Heart Failure 0.75
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.63
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.22
Percent (%) of Beneficiaries Identified With Depression 0.32
Percent (%) of Beneficiaries Identified With Diabetes 0.51
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.75
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.38
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.9541

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Interventional Cardiology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 214
Number of Standardized 30-Day Fills 585.06666667
Aggregate Cost Paid for All Claims 24810.43
Number of Day's Supply for All Claims 17510
Number of Medicare Beneficiaries 94
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 26
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 188
Aggregate Cost Paid for Generic Drugs 5315.83
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 24
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 5990.17
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 190
Aggregate Cost Paid for Claims Filled by 18820.26
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst *
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst #
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 77.574468085
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 53
Number of Male Beneficiaries 41
Number of Non-Hispanic White 87
Number of Black or African American 0
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 1.0873404255

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