Active NPI 1588784565 Individual Practitioner Male Practitioner

Derrick Michael Johnson , PA-C

Physician Assistant • Montgomery, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Derrick Johnson, PA-C is a certified Physician Assistant practicing in Montgomery, AL. With approximately 38 years of clinical experience since completing medical education in 1988, Derrick Johnson delivers high-quality medical care to the local community at 1470 TAYLOR RD STE 109.

Derrick Johnson is affiliated with Southern Orthopaedic Surgeons Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1470 Taylor Rd Ste 109

Montgomery, AL 361173747

Telephone 3346139000

Fax 3345320056

Associated Practice Facility / Clinic

🏢 Southern Orthopaedic Surgeons, Llc Facility NPI 1669266599

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Montgomery, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +29.4 yrs vs City Avg

City Avg: 8.6 Yrs

State Avg: 9.6 Yrs

Regional Practice Density

44 Specialists

Practicing in Montgomery, AL (1153 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (38 Years) 38 Yrs

Montgomery Specialty Average (8.6 Years) 8.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	220	55	$21.70	$6.42
99213 Established patient office or other outpatient visit, typically 15 minutes	148	131	$157.35	$68.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$198.26	$83.48
J1885 Injection, ketorolac tromethamine, per 15 mg	64	15	$4.44	$0.55
73562 X-ray of knee, 3 views	58	53	$95.10	$29.45
20610 Aspiration and/or injection of fluid from large joint	54	51	$141.24	$47.98
73630 X-ray of foot, minimum of 3 views	36	31	$91.17	$23.71
73030 X-ray of shoulder, minimum of 2 views	24	20	$92.50	$25.92
73502 X-ray of hip, 2-3 views	19	18	$76.00	$35.29
72100 X-ray of lower and sacral spine, 2-3 views	18	18	$93.83	$29.00
73110 X-ray of wrist, minimum of 3 views	17	12	$107.88	$29.26
73610 X-ray of ankle, minimum of 3 views	17	14	$101.53	$27.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	17	$28.65	$10.33
73560 X-ray of knee, 1-2 views	15	14	$71.67	$23.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	244	58	$15.51	$6.46
99213 Established patient office or other outpatient visit, typically 15 minutes	151	136	$170.00	$69.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$210.00	$87.54
20610 Aspiration and/or injection of fluid from large joint	62	60	$121.00	$52.05
73562 X-ray of knee, 3 views	48	45	$82.00	$30.98
J1885 Injection, ketorolac tromethamine, per 15 mg	48	12	$1.50	$0.54
73630 X-ray of foot, minimum of 3 views	38	37	$69.00	$24.80
73030 X-ray of shoulder, minimum of 2 views	32	32	$70.00	$23.64
73610 X-ray of ankle, minimum of 3 views	27	25	$74.00	$27.17
72100 X-ray of lower and sacral spine, 2-3 views	25	25	$81.00	$29.71
73110 X-ray of wrist, minimum of 3 views	23	21	$82.00	$30.24
73560 X-ray of knee, 1-2 views	19	18	$69.00	$24.75
73502 X-ray of hip, 2-3 views	17	16	$94.00	$35.84
73130 X-ray of hand, minimum of 3 views	14	14	$74.00	$24.81
73070 X-ray of elbow, 2 views	12	12	$59.00	$22.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	12	$29.00	$11.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	330	82	$12.28	$6.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	187	187	$209.00	$88.66
99213 Established patient office or other outpatient visit, typically 15 minutes	142	131	$169.00	$71.88
20610 Aspiration and/or injection of fluid from large joint	87	78	$121.00	$53.05
73562 X-ray of knee, 3 views	86	75	$74.00	$31.11
73630 X-ray of foot, minimum of 3 views	54	50	$63.00	$26.73
73030 X-ray of shoulder, minimum of 2 views	45	43	$63.00	$26.66
73502 X-ray of hip, 2-3 views	36	34	$85.00	$34.96
73610 X-ray of ankle, minimum of 3 views	34	33	$67.00	$27.33
73110 X-ray of wrist, minimum of 3 views	24	23	$74.00	$30.80
73070 X-ray of elbow, 2 views	22	21	$53.00	$22.05
73130 X-ray of hand, minimum of 3 views	16	16	$66.00	$25.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	346	85	$7.40	$6.37
99213 Established patient office or other outpatient visit, typically 15 minutes	190	167	$79.97	$72.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	176	176	$141.95	$90.25
20610 Aspiration and/or injection of fluid from large joint	90	82	$125.72	$52.73
73562 X-ray of knee, 3 views	84	75	$103.93	$30.45
73630 X-ray of foot, minimum of 3 views	58	56	$98.67	$25.99
73030 X-ray of shoulder, minimum of 2 views	44	39	$111.07	$26.95
73502 X-ray of hip, 2-3 views	41	41	$58.56	$34.79
73130 X-ray of hand, minimum of 3 views	37	31	$90.00	$27.64
73110 X-ray of wrist, minimum of 3 views	34	30	$99.79	$31.58
73610 X-ray of ankle, minimum of 3 views	34	32	$98.82	$28.76
73070 X-ray of elbow, 2 views	22	20	$86.18	$22.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	275	60	$7.08	$6.48
99213 Established patient office or other outpatient visit, typically 15 minutes	137	125	$74.62	$58.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$124.00	$83.65
20610 Aspiration and/or injection of fluid from large joint	67	60	$121.19	$48.29
73562 X-ray of knee, 3 views	50	45	$105.00	$29.84
73030 X-ray of shoulder, minimum of 2 views	29	27	$116.00	$24.03
73502 X-ray of hip, 2-3 views	26	26	$56.00	$35.19
73630 X-ray of foot, minimum of 3 views	26	23	$100.00	$24.58
73610 X-ray of ankle, minimum of 3 views	21	20	$100.00	$27.08
73110 X-ray of wrist, minimum of 3 views	16	15	$100.00	$30.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	675	138	$7.00	$6.40
99213 Established patient office or other outpatient visit, typically 15 minutes	271	253	$71.01	$57.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	183	183	$124.00	$82.34
20610 Aspiration and/or injection of fluid from large joint	158	136	$116.00	$45.60
73562 X-ray of knee, 3 views	101	89	$105.00	$27.54
73030 X-ray of shoulder, minimum of 2 views	65	61	$116.00	$21.45
73630 X-ray of foot, minimum of 3 views	52	50	$100.00	$21.33
73560 X-ray of knee, 1-2 views	43	35	$90.00	$23.60
73502 X-ray of hip, 2-3 views	35	33	$56.00	$33.05
73130 X-ray of hand, minimum of 3 views	34	33	$90.00	$25.62
73610 X-ray of ankle, minimum of 3 views	30	30	$100.00	$25.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$66.00	$34.06
73110 X-ray of wrist, minimum of 3 views	24	24	$100.00	$28.02
72100 X-ray of lower and sacral spine, 2-3 views	21	21	$121.00	$26.81
29075 Application of elbow to finger cast	15	14	$174.00	$67.08
73070 X-ray of elbow, 2 views	13	13	$90.00	$20.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	600	124	$7.00	$6.74
99213 Established patient office or other outpatient visit, typically 15 minutes	285	260	$71.14	$55.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	195	195	$117.00	$80.59
20610 Aspiration and/or injection of fluid from large joint	144	129	$116.00	$47.18
73562 X-ray of knee, 3 views	86	73	$105.00	$26.56
73030 X-ray of shoulder, minimum of 2 views	66	61	$116.00	$21.52
73630 X-ray of foot, minimum of 3 views	52	49	$100.00	$20.52
73502 X-ray of hip, 2-3 views	42	41	$56.00	$29.74
73610 X-ray of ankle, minimum of 3 views	36	34	$100.00	$22.07
73560 X-ray of knee, 1-2 views	36	30	$90.00	$23.03
73130 X-ray of hand, minimum of 3 views	30	26	$90.00	$23.64
73110 X-ray of wrist, minimum of 3 views	26	26	$100.00	$25.29
72100 X-ray of lower and sacral spine, 2-3 views	22	22	$121.00	$25.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$60.67	$33.26
73070 X-ray of elbow, 2 views	18	18	$90.00	$19.08
29075 Application of elbow to finger cast	15	15	$174.00	$65.73
25605 Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation	11	11	$825.00	$408.51
72040 X-ray of upper spine, 2-3 views	11	11	$90.00	$25.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	346	76	$7.00	$6.03
99213 Established patient office or other outpatient visit, typically 15 minutes	180	169	$71.00	$55.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	132	132	$111.00	$80.67
20610 Aspiration and/or injection of fluid from large joint	87	76	$116.00	$45.44
73562 X-ray of knee, 3 views	71	64	$105.00	$25.28
73630 X-ray of foot, minimum of 3 views	44	40	$100.00	$21.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	34	$58.00	$33.12
73030 X-ray of shoulder, minimum of 2 views	31	30	$116.00	$21.30
73502 X-ray of hip, 2-3 views	30	29	$56.00	$30.10
73610 X-ray of ankle, minimum of 3 views	29	26	$100.00	$22.83
73130 X-ray of hand, minimum of 3 views	21	19	$90.00	$22.00
29075 Application of elbow to finger cast	19	19	$174.00	$66.15
72100 X-ray of lower and sacral spine, 2-3 views	18	17	$121.00	$26.43
73110 X-ray of wrist, minimum of 3 views	13	13	$100.00	$26.51

Medical Specialties & State Licenses

CMS Verified: 2024-12-05

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AL PA.162

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Southern Orthopaedic Surgeons Llc

1470 Taylor Rd, Montgomery, AL 361173747

Phone: 3346139000

Southern Orthopaedic Surgeons Llc

668 Mcqueen Smith Rd N, Prattville, AL 360667511

Phone: 3346139000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners

Manuel Escobar , NP

Nurse Practitioner - Family

NPI 1023547833

Nurse Practitioner

Sarah Grate , OTR, L

Occupational Therapist

NPI 1063910321

Occupational Therapist Registered, L

Bryan Gandy , PT

Physical Therapist

NPI 1083709133

Physical Therapist

Dr. James Armstrong , MD

Orthopaedic Surgery

NPI 1093775223

Doctor of Medicine (M.D.)

Dr. Charles Fletcher , MD

Orthopaedic Surgery

NPI 1093775231

Doctor of Medicine (M.D.)

Antoinette Love , PA

Physician Assistant

NPI 1174945539

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location December 05, 2024

Registered at 1470 TAYLOR RD STE 109, MONTGOMERY, AL 361173747 (Tel: 3346139000)

📍

Updated Business Mailing Address December 05, 2024

Registered at 1470 TAYLOR RD STE 109, MONTGOMERY, AL 361173747 (Tel: 3346139000)

👤

Provider Name / Credentials Updated December 05, 2024

Recorded as DERRICK JOHNSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2024

Physician Assistant (License #PA.162 in AL)

✅

NPI Profile Active January 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 10, 2014

Registered at 454 TAYLOR RD, MONTGOMERY, AL 361173563 (Tel: 3346139000)

📍

Updated Business Mailing Address January 10, 2014

Registered at 454 TAYLOR RD, MONTGOMERY, AL 361173563 (Tel: 3346139000)

👤

Provider Name / Credentials Updated January 10, 2014

Recorded as DERRICK JOHNSON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2014

Physician Assistant (License #162 in AL)

🟢

Initial NPI Registration & Enumeration March 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588784565

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 31, 2007

Last Update: December 05, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1470 Taylor Rd Ste 109

Montgomery, AL 361173747

Phone: 3346139000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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