Wondwossen Yilma Dererie, M.D.
NPI 1760793897ActiveIndividual· Internal Medicine· Suffolk, VA
Internal Medicine (M.D.) with Licking Memorial Professional Corporation, practicing in Suffolk, Virginia. In 2024 Medicare paid $45,750 for 256 patients, and Part D covered 454 of their prescriptions, 87% of them generic. Lists Licking Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1760793897 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 23, 2010 |
| Last updated in NPPES | Oct 4, 2021 |
| Certified by provider | Oct 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 0101254930 | VA |
| Internal Medicine | 207R00000X | 35.130138 | OH |
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 - Hospitalist (OH); Practitioner - Hospitalist (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 256 |
|---|---|
| Services billed | 691 across 9 procedure codes |
| Paid by Medicare | $45,750 |
Part D prescriptions in 2024
| Prescriptions (claims) | 454 · 464 30-day fills |
|---|---|
| Patients | 207 |
| Total drug cost | $23,912 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Hospitalist |
| Secondary specialties | Internal Medicine |
Medical group
- Licking Memorial Professional CorporationNewark, OH · 234 clinicians
Hospital affiliation
- Licking Memorial HospitalNewark, OH
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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All 52 internal medicine physicians in Suffolk · All internal medicine physicians in Virginia