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

Dr. Richard Derby, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1295720845

Dr. Richard Derby, MD is a Family Practice in O Fallon, Illinois. Graduated from University of Vermont College of Medicine in 1994, 32 years ago. Practices with Hshs Medical Group Inc, a 209-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
32
Trained at
University of Vermont College of Medicine
Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

670 Pierce Blvd
O Fallon, IL 62269-2579
Phone: (618) 206-2094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 036126121 (IL)

Record details

NPI number1295720845
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021
Mailing address670 Pierce Blvd, O Fallon, IL 62269-2579

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Hshs Medical Group Inc — 209 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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