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Dr. Derek Hugh Andreini , MD

Orthopaedic Surgery โ€ข Wheeling, WV

Active NPI 1235244898 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1 Medical Park, Suite 703
Wheeling, WV 26003

Call 3042426373 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

1 Medical Park
Suite 703

Wheeling, WV 26003

Telephone 3042426373
Fax 3042426371
Organization at the Same NPPES Address or Phone
Wheeling Hospital Inc Facility NPI 1427378330

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1976

Medicare patients

80 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 โ€“ by Provider, 2024.

Medicare-allowed amount

About $14,906 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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $10,324 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 โ€“ by Provider and Service, 2024.

30-day fills

187 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

$2,151 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $22.55 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

50 years (graduated 1976)

CMS Doctors and Clinicians data list 1976 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

2006

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, โ€œDoes your provider accept Medicare as full payment?โ€

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. Andreini 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

Can order Medicare-covered services

CMS lists Dr. Andreini as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Wheeling and West Virginia

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 80% of clinicians listed under Orthopaedic Surgery in West Virginia (2024, 68 clinicians with data). Median for this group: 1,262. Middle half: 336 to 3,575.

Too few clinicians listed under Orthopaedic Surgery in Wheeling have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 80% of clinicians listed under Orthopaedic Surgery in West Virginia (2024, 68 clinicians with data). Median for this group: $59,762. Middle half: $24,140 to $126,296.

Too few clinicians listed under Orthopaedic Surgery in Wheeling have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 80% of clinicians listed under Orthopaedic Surgery in West Virginia (2024, 68 clinicians with data). Median for this group: $46,360. Middle half: $19,356 to $97,959.

Too few clinicians listed under Orthopaedic Surgery in Wheeling have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 65% of clinicians listed under Orthopaedic Surgery in West Virginia (2024, 67 clinicians with data). Median for this group: 260. Middle half: 105 to 403.

Too few clinicians listed under Orthopaedic Surgery in Wheeling have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Orthopaedic Surgery in West Virginia (2024, 67 clinicians with data). Median for this group: $1,571. Middle half: $645 to $4,328.

Too few clinicians listed under Orthopaedic Surgery in Wheeling have Medicare Part D data for 2024 to compare.

6 active clinicians are listed under Orthopaedic Surgery with a practice address in Wheeling, WV (127 in West Virginia).

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

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 ยท 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

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $22.55.

Manufacturer Payment Nature Product Type Amount ($)
Ferring Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
EUFLEXXA General $22.55

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“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 โ€“ by Provider and Service data, 2017โ€“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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
105 57 $148.00 $62.03
20610 Aspiration and/or injection of fluid from large joint
76 44 $162.21 $48.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
20 17 $214.00 $92.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $182.00 $78.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $293.00 $127.19

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.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ibuprofen Ibuprofen 85 3,225 $485.07 30
Diclofenac Sodium Diclofenac Sodium 27 947 $891.40 โ€”
Celecoxib Celecoxib 26 1,410 $774.52 โ€”

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

Self-certified to NPPES: 2020-06-12
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

License # reported to NPPES WV 13314

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

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: West Virginia State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
3136298 (WV)
Medicaid ID
0624328 (OH)
Medicaid ID
0099314000 (WV)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - ORTHOPEDIC SURGERY

Medicare Enrollment ID

I20070723000098

Enrollment State Jurisdiction

WV

PECOS Control ID

9234230111

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1346376035

Doctor of Medicine (M.D.)

Dr. Juan Carlos Arrieta , MD

Internal Medicine - Interventional Cardiology

NPI 1306377437

Doctor of Medicine (M.D.)

NPI 1528355070

Doctor of Medicine (M.D.)

Brian Bakaitis , CRNA

Nurse Anesthetist, Certified Registered

NPI 1538184890

Certified Registered Nurse Anesthetist

Brittney Baker , PA-C

Physician Assistant - Medical

NPI 1356042790

Physician Assistant (Certified)

Connie Balcar , CRNA

Nurse Anesthetist, Certified Registered

NPI 1558393645

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

8 Historical Events
๐Ÿ“
Updated Practice Location June 12, 2020

Registered at 1 MEDICAL PARK, SUITE 703, WHEELING, WV 26003 (Tel: 3042426373)

๐Ÿ“
Updated Business Mailing Address June 12, 2020

Registered at 1 MEDICAL PARK, SUITE 703, WHEELING, WV 26003 (Tel: 3042426373)

โœ…
NPI Profile Active February 15, 2011

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) February 15, 2011

Registered at 20 MEDICAL PARK, SUITE 102, WHEELING, WV 260036390 (Tel: 3042426373)

๐Ÿ“
Business Mailing Address (Initial Record) February 15, 2011

Registered at 40 MEDICAL PARK, SUITE 302, WHEELING, WV 260036392 (Tel: 3042426373)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) February 15, 2011

Recorded as DEREK ANDREINI, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2011

Orthopaedic Surgery (license number reported to NPPES: WV 13314)

๐ŸŸข
Initial NPI Registration & Enumeration August 21, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235244898
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: June 12, 2020
Sole Proprietor: No

Other Orthopaedic Surgery Specialists in Wheeling

Healthcare providers in Wheeling

Mailing Address

1 Medical Park, Suite 703

Wheeling, WV 26003

Phone: 3042426373

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.