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Dr. Derek Allan Sundby , DC

Chiropractor • Cavalier, ND

Active NPI 1972079085 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

106 W 2nd Ave S
Cavalier, ND 582204117

Call 7012654114 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

106 W 2nd Ave S

Cavalier, ND 582204117

Telephone 7012654114
Fax 7012654113
Organization at the Same NPPES Address or Phone
Grafton Chiropractic Clinic, P.c. Facility NPI 1952547978

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Grafton Chiropractic Clinic Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Northwestern College Of Chiropractic

Graduation Year

2018

Medicare patients

110 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $27,296 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.

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 $18,054 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Sundby has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Cavalier and North Dakota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 90% of clinicians listed under Chiropractor in North Dakota (2024, 274 clinicians with data). Median for this group: 348. Middle half: 199 to 550.

Too few clinicians listed under Chiropractor in Cavalier have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under Chiropractor in North Dakota (2024, 274 clinicians with data). Median for this group: $11,908. Middle half: $6,577 to $19,052.

Too few clinicians listed under Chiropractor in Cavalier have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Chiropractor in North Dakota (2024, 274 clinicians with data). Median for this group: $7,815. Middle half: $4,519 to $12,673.

Too few clinicians listed under Chiropractor in Cavalier have Medicare Part B data for 2024 to compare.

2 active clinicians are listed under Chiropractor with a practice address in Cavalier, ND (498 in North Dakota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2023 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, 2019–2024; 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
98940 Chiropractic manipulative treatment, 1-2 spinal regions
834 103 $54.63 $26.69
98941 Chiropractic manipulative treatment, 3-4 spinal regions
131 28 $76.82 $38.45

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.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-02-05
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES ND 1149

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES MN 6544

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Dakota State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20210901004068

Enrollment State Jurisdiction

ND

PECOS Control ID

3173867322

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Grafton Chiropractic Clinic Pc

424 Briggs Ave S, Park River, ND 582704042

Phone: 7013520400

Grafton Chiropractic Clinic Pc

808 W 12th St, Grafton, ND 582372144

Phone: 7013520400

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
📍
Updated Business Mailing Address February 05, 2024

Registered at 808 W 12TH ST, GRAFTON, ND 582372144 (Tel: 7013520400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2024

Chiropractor (license number reported to NPPES: MN 6544)

📍
Updated Practice Location July 19, 2021

Registered at 106 W 2ND AVE S, CAVALIER, ND 582204117 (Tel: 7012654114)

📍
Updated Business Mailing Address July 19, 2021

Registered at 728 HILL AVE, GRAFTON, ND 582371448 (Tel: 7013520400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2021

Chiropractor (license number reported to NPPES: ND 1149)

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NPI Profile Active October 16, 2018

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) October 16, 2018

Registered at 703 PACIFIC AVE, ARGYLE, MN 56713 (Tel: 7013311890)

📍
Business Mailing Address (Initial Record) October 16, 2018

Registered at 405 W 8TH ST, GRAFTON, ND 582371329 (Tel: 7013311890)

👤
Provider Name / Credentials (Initial Record) October 16, 2018

Recorded as DEREK SUNDBY, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2018

Chiropractor (license number reported to NPPES: MN 6544)

🟢
Initial NPI Registration & Enumeration October 16, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972079085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2018
Last Update: February 05, 2024
Sole Proprietor: Yes

Mailing Address

808 W 12th St

Grafton, ND 582372144

Phone: 7013520400

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.