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Physician Profile

Derek Koller, M.D.

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At a glance

About Dr. Koller

Derek Koller, M.D. practices family medicine in Salem, OR. Derek is a 2012 graduate of University of Texas Medical School at San Antonio. According to Medicare claims data, Derek cared for 60 Medicare patients across 65 services. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more and new patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more. The provider's National Provider Identifier (NPI) is 1629338470.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Family Medicine (Primary)

Credentials & Licensing

OR licenceAs reported to the NPI registry
No. MD186008As reported
AZ licenceAs reported to the NPI registry
No. 55553As reported
CA licenceAs reported to the NPI registry
No. A143337As reported
CO licenceAs reported to the NPI registry
No. DR.0059780As reported
FL licenceAs reported to the NPI registry
No. ME142837As reported
HI licenceAs reported to the NPI registry
No. 17981As reported
ID licenceAs reported to the NPI registry
No. M-14141As reported
IL licenceAs reported to the NPI registry
No. 036151000As reported
MT licenceAs reported to the NPI registry
No. MED-PHYS-LIC-60886As reported
NM licenceAs reported to the NPI registry
No. MD2018-0164As reported
NV licenceAs reported to the NPI registry
No. 17828As reported
NY licenceAs reported to the NPI registry
No. 284778As reported
TX licenceAs reported to the NPI registry
No. S2376As reported
WA licenceAs reported to the NPI registry
No. MD60818224As reported
WY licenceAs reported to the NPI registry
No. 11453AAs reported
NPINational Provider Identifier
1629338470Issued 2012

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Derek Koller specialize in?

Derek Koller is a family doctor in Salem, OR. That is the designation recorded for this NPI in the federal registry, where it is listed as “Family Medicine”.

NPI registry

Where is Derek Koller located?

Derek Koller is listed at 6861 Lemongrass Loop Se, Salem, OR 97306. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Derek Koller's phone number?

The number on file is (361) 902-4789. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Derek Koller's NPI number?

Derek Koller's National Provider Identifier is 1629338470. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Derek Koller train?

Derek Koller attended University of Texas Medical School at San Antonio, graduating in 2012. This comes from the CMS National Downloadable File.

CMS public data

How long has Derek Koller been practicing?

Derek Koller has 14 years experience. Calculated from a graduation year of 2012, reported in the CMS National Downloadable File.

CMS public data

What does Derek Koller do most often?

According to Medicare billing data, Derek Koller the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Derek Koller confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Derek Koller. If this is you, claiming it is free.

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