Keith J. Derickson, MD
NPI 1538480439ActiveIndividual· Family Medicine· Fort Wayne, IN
Family Medicine (MD) in Fort Wayne, Indiana, trained at Indiana University School of Medicine (class of 2010). Their prescriptions cost Medicare Part D more than their services did: $1,396,252 for 12,012 claims, against $72,162 paid for services in 2024. Abbvie Inc. was the largest of 30 companies reporting payments in 2025, $3,240 in all, mostly food and beverage.
Overview
| NPI | 1538480439 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 15, 2010 |
| Last updated in NPPES | Sep 28, 2020 |
| Certified by provider | Sep 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 01070470A | IN |
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 - Family Practice (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 265 |
|---|---|
| Services billed | 4,183 across 59 procedure codes |
| Paid by Medicare | $72,162 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12,012 · 28,368 30-day fills |
|---|---|
| Patients | 784 |
| Total drug cost | $1,396,252 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | Indiana University School of Medicine |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical groups
- Lutheran Medical Group LLCFort Wayne, IN · 252 clinicians
- Fort Wayne Medical Education ProgramFort Wayne, IN · 7 clinicians
Hospital affiliations
- Dupont Hospital LLCFort Wayne, IN
- Lutheran Hospital of IndianaFort Wayne, IN
- Parkview Regional Medical CenterFort Wayne, IN
- St Joseph Health System, LLCFort Wayne, IN
Other facilities
- Adoration Home HealthHome health agency · Fort Wayne, IN
- CaretendersHome health agency · Fort Wayne, IN
- Elara CaringHome health agency · Fort Wayne, IN
- Heartland Home Health (Fort Wayne)Home health agency · Fort Wayne, IN
Industry payments (Open Payments)
- 2025$3,240 · 216 payments from 30 companies
- 2024$2,776 · 182 payments from 27 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $496.30 | 42 |
| Astrazeneca Pharmaceuticals LP | $393.60 | 36 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $320.31 | 19 |
| Pfizer Inc. | $231.53 | 14 |
| Tris Pharma Inc | $185.32 | 9 |
What the 2025 payments were for
- Food and Beverage$3,240 · 216 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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