Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek E Clevidence, MD, PHD

Individual provider Family Medicine Physician · NPI 1093774135

Derek E Clevidence, MD, PHD is a Family Practice in Monona, Wisconsin. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1997, 29 years ago. Practices with Meriter Hospital Inc, a 123-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
29
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

6408 Copps Ave
Monona, WI 53716-3702
Phone: (608) 417-3000
Fax: (608) 417-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 42305 (WI)

Record details

NPI number1093774135
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedMarch 18, 2006
Last updated in NPPESMay 18, 2018
Mailing address202 S Park St, Madison, WI 53715-1507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1997 (29 years in practice)
Group practice Meriter Hospital Inc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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