Doctor profile · Federal record

Dr. Robert Derby, NP

Nurse Practitioner · Nurse Practitioner · Family Nurse Practitioner · Beloit, WI

  • NPI 1104593060
  • Accepts Medicare
  • 5 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
Beloit Clinic, 1905 E Huebbe Parkway
Beloit, WI 535111842
(608) 364-1640
fax (608) 363-7393
Mailing address
Beloit Health Systems INC, 1969 W Hart Road
Beloit, WI 535112230

Credentials & registration

NPPES · NUCC
NPI registered
August 2021 — 5 yrs on file
Profile last updated
December 4, 2023
Year of graduation
2021 — 5 yrs since
Specialty taxonomy
363L00000X — NUCC code
State licenses (2)
Wisconsin #11369-33 · Illinois #209024153

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1104593060. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$225
Transactions
9
Manufacturers
6
Payer (manufacturer) Industry Txns Amount
TREACE MEDICAL CONCEPTS, INC. 4 $127.63
MIMEDX Group, Inc. 1 $35.99
Urgo Medical North America, LLC 1 $18.64
Tactile Systems Technology Inc 1 $15.72
Integra LifeSciences Corporation 1 $14.01
Lilly USA, LLC 1 $13.32

By nature of payment

Food and Beverage
$225

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
39
Patients
0
Total drug cost
$680
Drug Type Claims Patients Total cost
Levothyroxine Sodium Generic 14 0 $309
Gabapentin Generic 13 0 $181
Hydrocortisone Generic 12 0 $190

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Robert Derby's medical specialty?
Dr. Robert Derby practices Nurse Practitioner in Beloit, WI.
Where does Dr. Robert Derby practice?
Dr. Robert Derby practices at Beloit Clinic, Beloit, WI 535111842. Office phone: 6083641640.
What is Dr. Robert Derby's NPI?
Dr. Robert Derby's National Provider Identifier (NPI) is 1104593060, issued by NPPES.
Does Dr. Robert Derby accept Medicare assignment?
Yes. Dr. Robert Derby accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.