Rachel Leigh Derwick , ARNP
Nurse Practitioner • Ormond Beach, FL
400 Lakebridge Plaza Dr
Ormond Beach, FL 321745157
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on September 13, 2012; this date does not establish years in practice.
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Published CMS data list 6,422 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 17003 — Destruction of precancer skin growth, 2-14 growths: 2,469 service units.
- 99214 — Established patient outpatient office visit: 772 service units.
- 99213 — Established patient outpatient office visit: 721 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 14 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 864 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Ketoconazole — 182 prescription fills, including refills.
- Triamcinolone Acetonide — 146 prescription fills, including refills.
- Fluorouracil — 87 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 14 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: 281. Middle half: 98 to 758.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 6,711 in 2020 to 6,422 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
400 Lakebridge Plaza Dr
Ormond Beach, FL 321745157
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in The Villages, FL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
1,282 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $330,315 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $231,053 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
944 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$23,218 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $46.52 across 2 records.
By nature of payment
- Food and Beverage: $46.52 across 2 records.
Reporting-company totals
- Janssen Pharmaceuticals, Inc: $25.44 across 1 record.
- Arcutis Biotherapeutics, Inc.: $21.08 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2012
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Can order Medicare-covered services
CMS lists Rachel Derwick as eligible to order or refer durable medical equipment (DME) for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Ormond Beach and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: 281. Middle half: 98 to 758.
Too few clinicians listed under Nurse Practitioner in Ormond Beach have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: $22,890. Middle half: $8,465 to $56,388.
Too few clinicians listed under Nurse Practitioner in Ormond Beach have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: $17,374. Middle half: $6,293 to $42,181.
Too few clinicians listed under Nurse Practitioner in Ormond Beach have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Nurse Practitioner in Florida (2024, 3,506 clinicians with data). Median for this group: 306. Middle half: 76 to 1,100.
Too few clinicians listed under Nurse Practitioner in Ormond Beach have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Nurse Practitioner in Florida (2024, 3,506 clinicians with data). Median for this group: $18,227. Middle half: $1,370 to $130,581.
Too few clinicians listed under Nurse Practitioner in Ormond Beach have Medicare Part D data for 2024 to compare.
15 active clinicians are listed under Nurse Practitioner with a practice address in Ormond Beach, FL (8,853 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Ormond Beach
13.3% of these 15 clinicians have the CMS telehealth indicator.
73.3% of these 15 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services stayed about the same: 6,711 in 2020 and 6,422 in 2024.
- 2020: 6,711
- 2021: 5,704
- 2022: 7,048
- 2023: 7,054
- 2024: 6,422
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $348,982 in 2020 and $330,315 in 2024.
- 2020: $348,982
- 2021: $343,973
- 2022: $405,616
- 2023: $403,680
- 2024: $330,315
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Paid by Medicare
Paid by Medicare stayed about the same: $250,605 in 2020 and $231,053 in 2024.
- 2020: $250,605
- 2021: $253,456
- 2022: $294,621
- 2023: $293,926
- 2024: $231,053
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Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 895 in 2020 and 864 in 2024.
- 2020: 895
- 2021: 660
- 2022: 784
- 2023: 839
- 2024: 864
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30-day fills
30-day fills varied from year to year: 946 in 2020 and 944 in 2024.
- 2020: 946
- 2021: 695
- 2022: 813
- 2023: 895
- 2024: 944
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Part D drug cost
Part D drug cost decreased 27% from $31,748 in 2020 to $23,218 in 2024.
- 2020: $31,748
- 2021: $22,709
- 2022: $30,592
- 2023: $28,089
- 2024: $23,218
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $16.64 in 2021 to $46.52 in 2025.
- 2021: $16.64
- 2022: $28.05
- 2023: $35.03
- 2024: $122.60
- 2025: $46.52
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $46.52.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $25.44 |
| Arcutis Biotherapeutics, Inc. |
Food and Beverage
In-kind items and services
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Zoryve | General | $21.08 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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17003
Destruction of precancer skin growth, 2-14 growths
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2,469 | 424 | $9.03 | $5.31 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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772 | 610 | $177.87 | $106.18 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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721 | 609 | $125.64 | $75.34 |
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17000
Destruction of precancer skin growth, 1 growth
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695 | 574 | $92.83 | $39.76 |
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11102
Biopsy of related skin growth, first growth
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561 | 486 | $139.59 | $69.52 |
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17110
Destruction of skin growth, 1-14 growths
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473 | 401 | $155.76 | $90.67 |
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11103
Biopsy of related skin growth, each additional growth
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214 | 141 | $69.38 | $40.79 |
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17004
Destruction of precancer skin growth, 15 or more growths
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208 | 159 | $234.12 | $136.68 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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96 | 96 | $157.18 | $92.51 |
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17262
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
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81 | 68 | $248.04 | $132.53 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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66 | 66 | $233.28 | $139.72 |
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69100
Biopsy of ear
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31 | 30 | $134.06 | $52.77 |
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17272
Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
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21 | 20 | $262.19 | $147.98 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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14 | 14 | $78.37 | $46.69 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ketoconazole | Ketoconazole | 182 | 5,791 | $3,619.82 | 110 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 146 | 3,384 | $729.45 | 128 |
| Fluorouracil | Fluorouracil | 87 | 2,500 | $5,277.32 | 80 |
| Gentamicin Sulfate | Gentamicin Sulfate | 87 | 1,851 | $2,641.94 | 76 |
| Metronidazole | Metronidazole | 83 | 2,460 | $4,095.24 | 56 |
| Doxycycline Hyclate | Doxycycline Hyclate | 67 | 1,998 | $798.80 | 27 |
| Nystatin | Nystatin | 46 | 1,395 | $525.92 | 36 |
| Clobetasol Propionate | Clobetasol Propionate | 42 | 1,304 | $1,472.99 | 28 |
| Clindamycin Phosphate | Clindamycin Phosphate | 32 | 1,335 | $925.24 | 24 |
| Ciclopirox | Ciclopirox | 28 | 841 | $625.17 | 16 |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 23 | 533 | $771.69 | 18 |
| Valacyclovir | Valacyclovir Hcl | 17 | 122 | $155.67 | 11 |
| Azelaic Acid | Azelaic Acid | 13 | 366 | $1,552.04 | — |
| Hydrocortisone | Hydrocortisone | 11 | 229 | $27.15 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSSources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
1503 Buenos Aires Blvd, Bldg 100
The Villages, FL 321596821
Phone: 3527532812
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dermatology
Doctor of Osteopathic Medicine (D.O.)
Dermatology
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant
Dermatology
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant
Dermatology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL 321745157 (Tel: 3866779044)
Registered at 400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL 321745157 (Tel: 3866779044)
Recorded as RACHEL DERWICK, ARNP
NPI status registered as active in NPPES database
Registered at 1503 BUENOS AIRES BLVD, BLDG 100, THE VILLAGES, FL 321596821 (Tel: 3527532812)
Registered at 151 SOUTHHALL LN, SUITE 300, MAITLAND, FL 327517176 (Tel: 4078752080)
Recorded as RACHEL SMITH, ARNP
Nurse Practitioner (license number reported to NPPES: FL ANRP9252203)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Ormond Beach
- Sarah Goodman, ARNP
- Lindsey Londono, APRN
- Kay Klymko, FNP
- Lisa Cousins, APRN
- Mariya Boychev
- Jessica Hills, FNP
Mailing Address
400 Lakebridge Plaza Dr
Ormond Beach, FL 321745157
Phone: 3866779044