Gregory Paul Derderian, D.O.
NPI 1457355737ActiveIndividual· Surgery, Vascular Surgery· Birmingham, MI
Surgery, Vascular Surgery (D.O.) in Birmingham, Michigan, trained at Kansas City College of Medicine and Surgery (class of 1976). Part D covered 23 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1457355737 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jun 2, 2005 |
| Last updated in NPPES | Sep 18, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | 5101007182 | MI |
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 - Vascular Surgery (MI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 23 · 23 30-day fills |
|---|---|
| Total drug cost | $237.67 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Kansas City College of Medicine and Surgery |
|---|---|
| Graduation year | 1976 |
| Medicare specialty | Vascular Surgery |
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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