Robert John Derby, NP
NPI 1104593060ActiveIndividual· Nurse Practitioner· Beloit, WI
Nurse Practitioner (NP) with Beloit Health System Inc, practicing in Beloit, Wisconsin. 107 Medicare patients in 2024, $7,558 paid; nearly all of their 122 Part D prescriptions were generic (93%). Organogenesis Inc. was the largest of 4 companies reporting payments in 2025, $157.05 in all, mostly food and beverage. Lists Beloit Health System as a hospital affiliation.
Overview
| NPI | 1104593060 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Aug 26, 2021 |
| Last updated in NPPES | Dec 4, 2023 |
| Certified by provider | Jun 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 11369-33 | WI |
| Nurse Practitioner | 363L00000X | 209024153 | IL |
| Nurse Practitioner, Family | 363LF0000X | 11369-33 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL); Practitioner - Nurse Practitioner (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 107 |
|---|---|
| Services billed | 380 across 18 procedure codes |
| Paid by Medicare | $7,558 |
Part D prescriptions in 2024
| Prescriptions (claims) | 122 · 155 30-day fills |
|---|---|
| Patients | 66 |
| Total drug cost | $8,176 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Beloit Health System IncBeloit, WI · 135 clinicians
Hospital affiliation
- Beloit Health SystemBeloit, WI
Industry payments (Open Payments)
- 2025$157.05 · 7 payments from 4 companies
- 2024$225.31 · 9 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Organogenesis Inc. | $72.75 | 3 |
| Treace Medical Concepts, Inc. | $35.37 | 1 |
| Smith+nephew, Inc. | $29.29 | 2 |
| Medline Industries LP | $19.64 | 1 |
What the 2025 payments were for
- Food and Beverage$157.05 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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