Doctor profile · Federal record

Dr. Robert Derveloy, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Tupelo, MS

  • NPI 1689674707
  • MIPS 87.9 / 100 · 2023
  • 21 yrs on file
  • Male
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
830 S Gloster St, Nmmc East Tower 4Th Floor
Tupelo, MS 388014934
(662) 377-7170
fax (662) 377-2423
Mailing address
Po Box 7062
Tupelo, MS 388027062

Credentials & registration

NPPES · NUCC
NPI registered
July 2005 — 21 yrs on file
Profile last updated
July 8, 2007
Specialty taxonomy
208G00000X — NUCC code
State license (1)
Mississippi #12390
Medicaid
MS #00118384

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1689674707. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
11
Distinct HCPCS
1
Medicare allowed
$18,033
HCPCS Description Services Patients Avg allowed
33533 Coronary artery bypass using artery graft, 1 graft 11 11 $1,639

In context: peer comparison

Among 2 peers in this city , average services per provider: 51. This provider delivers 0.2× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Robert Derveloy's medical specialty?
Dr. Robert Derveloy practices Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tupelo, MS.
Where does Dr. Robert Derveloy practice?
Dr. Robert Derveloy practices at 830 S Gloster St, Tupelo, MS 388014934. Office phone: 6623777170.
What is Dr. Robert Derveloy's NPI?
Dr. Robert Derveloy's National Provider Identifier (NPI) is 1689674707, issued by NPPES.
What procedures does Dr. Robert Derveloy commonly perform?
Top Medicare-reported procedures in 2023: Coronary artery bypass using artery graft, 1 graft (HCPCS 33533). Source: CMS Medicare Physician & Other Practitioners file.