Susan A. Derry, MD
NPI 1023109030ActiveIndividual· Emergency Medicine· Moscow, ID
Emergency Medicine (MD) in Moscow, Idaho, trained at University of North Dakota School of Medicine (class of 2012). 151 Medicare patients in 2024, $18,192 paid; nearly all of their 92 Part D prescriptions were generic (96%).
Overview
| NPI | 1023109030 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Sep 27, 2006 |
| Last updated in NPPES | Aug 11, 2026 |
| Certified by provider | Aug 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | MD60547005 | WA |
| Emergency Medicine | 207P00000X | 8161176 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (ID); Practitioner - Emergency Medicine (MN); Practitioner - Emergency Medicine (NE); Practitioner - Emergency Medicine (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 151 |
|---|---|
| Services billed | 169 across 11 procedure codes |
| Paid by Medicare | $18,192 |
Part D prescriptions in 2024
| Prescriptions (claims) | 92 · 92 30-day fills |
|---|---|
| Patients | 74 |
| Total drug cost | $1,407 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | University of North Dakota School of Medicine |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Emergency Medicine |
Medical groups
- Alegent Creighton ClinicOmaha, NE · 963 clinicians
- Sanford Health of Northern MinnesotaBemidji, MN · 343 clinicians
- Northwest Emergency Physicians LLCTacoma, WA · 271 clinicians
Hospital affiliations
- Chi Health MidlandsPapillion, NE
- Gritman Medical CenterMoscow, ID
- Mason General Hospital & Family of ClinicsShelton, WA
- Sanford Bemidji Medical CenterBemidji, MN
- St Elizabeth HospitalEnumclaw, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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