Active NPI 1093111304 Individual Practitioner Male Practitioner

Derek J. Taylor , PA-C

Physician Assistant • Mesa, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Derek Taylor, PA-C is a certified Physician Assistant practicing in Mesa, AZ. With approximately 12 years of clinical experience since completing medical education in 2014, Derek Taylor delivers high-quality medical care to the local community at 4320 E. PRESIDIO STREET #101.

Derek Taylor is affiliated with Valleywide Surgical Services, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include replacement of knee joint, both sides of knee, replacement of thigh bone and hip joint with prosthesis, prosthetic repair of shoulder joint, total shoulder. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4320 E. Presidio Street #101

Mesa, AZ 852153031

Telephone 4807069430

Fax 4803782273

Associated Practice Facility / Clinic

🏢 Valleywide Surgical Services, Llc Facility NPI 1912116633

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mesa, AZ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +4.4 yrs vs City Avg

City Avg: 7.6 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

474 Specialists

Practicing in Mesa, AZ (3711 Statewide)

Telehealth Adoption Rate

8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

96.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Taylor (12 Years) 12 Yrs

Mesa Specialty Average (7.6 Years) 7.6 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
27447 Replacement of knee joint, both sides of knee	135	131	$5473.83	$166.88
27130 Replacement of thigh bone and hip joint with prosthesis	64	62	$5371.45	$167.32
23472 Prosthetic repair of shoulder joint, total shoulder	30	29	$5175.00	$187.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	192	184	$5056.44	$168.84
27130 Replacement of thigh bone and hip joint with prosthesis	68	67	$5138.90	$169.01
23472 Prosthetic repair of shoulder joint, total shoulder	31	30	$5175.00	$190.24
29827 Repair of shoulder rotator cuff using an endoscope	18	18	$3516.11	$141.11
29828 Release of shoulder biceps tendon using an endoscope	18	18	$2990.44	$62.16
29824 Partial removal of collar bone at shoulder using an endoscope	17	17	$2194.71	$27.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	114	110	$5100.80	$171.77
27130 Replacement of thigh bone and hip joint with prosthesis	78	75	$5145.19	$171.38
23472 Prosthetic repair of shoulder joint, total shoulder	35	35	$5175.00	$193.17
29827 Repair of shoulder rotator cuff using an endoscope	24	24	$3494.38	$143.45
29824 Partial removal of collar bone at shoulder using an endoscope	22	22	$2177.14	$27.97
29828 Release of shoulder biceps tendon using an endoscope	15	15	$3042.67	$64.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	119	114	$5156.82	$174.37
27130 Replacement of thigh bone and hip joint with prosthesis	51	51	$6137.75	$172.16
23472 Prosthetic repair of shoulder joint, total shoulder	35	35	$5234.31	$195.82
29827 Repair of shoulder rotator cuff using an endoscope	22	22	$3344.82	$144.63
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	17	17	$2223.41	$23.50
29824 Partial removal of collar bone at shoulder using an endoscope	17	17	$2112.94	$35.33
23405 Incision of shoulder tendon	14	14	$2087.71	$41.97
29823 Removal of extensive shoulder joint tissue using an endoscope	13	13	$2597.23	$26.35
23430 Anchoring of biceps tendon	11	11	$2556.91	$50.37
29828 Release of shoulder biceps tendon using an endoscope	11	11	$2902.64	$60.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	110	104	$5112.77	$185.37
27130 Replacement of thigh bone and hip joint with prosthesis	59	57	$5083.73	$185.48
23472 Prosthetic repair of shoulder joint, total shoulder	37	35	$5159.41	$198.74
29827 Repair of shoulder rotator cuff using an endoscope	31	30	$3667.52	$146.49
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	27	27	$2526.67	$23.97
29823 Removal of extensive shoulder joint tissue using an endoscope	25	24	$3027.52	$21.55
23430 Anchoring of biceps tendon	22	20	$2525.00	$53.13
29824 Partial removal of collar bone at shoulder using an endoscope	17	17	$2163.18	$27.98
23405 Incision of shoulder tendon	16	14	$2132.44	$45.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	130	125	$5107.62	$191.30
27130 Replacement of thigh bone and hip joint with prosthesis	55	53	$5148.09	$183.30
23472 Prosthetic repair of shoulder joint, total shoulder	39	39	$5241.15	$196.66
23430 Anchoring of biceps tendon	21	21	$2476.86	$50.20
29823 Removal of extensive shoulder joint tissue using an endoscope	21	19	$2917.00	$28.08
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	19	18	$2891.63	$23.78
29827 Repair of shoulder rotator cuff using an endoscope	17	16	$3725.00	$142.69
23405 Incision of shoulder tendon	12	12	$2150.00	$41.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	109	106	$5425.40	$184.10
27130 Replacement of thigh bone and hip joint with prosthesis	57	57	$5199.28	$183.47
23472 Prosthetic repair of shoulder joint, total shoulder	25	25	$6601.17	$196.83
23430 Anchoring of biceps tendon	18	18	$2328.61	$55.70
20985 Computer-assisted surgery for muscle and bone procedure	16	16	$369.21	$19.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	55	55	$5105.89	$184.00
27130 Replacement of thigh bone and hip joint with prosthesis	25	25	$4553.96	$184.09
23472 Prosthetic repair of shoulder joint, total shoulder	18	18	$3207.44	$197.64

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 5941

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.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

983703 (AZ)

Hospital & Practice Group Affiliations

Valleywide Surgical Services, Llc

4320 E Presidio St, Mesa, AZ 852151165

Phone: 4807069430

Practice Associates & Co-Workers

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

28 Associated Practitioners

Dr. William Cohen , MD

Surgery

NPI 1043287683

Doctor of Medicine (M.D.)

Dr. Richard De Rosa , MD

Surgery

NPI 1124002308

Doctor of Medicine (M.D.)

Dorota Dietz , PA-C

Physician Assistant

NPI 1164708111

Physician Assistant (Certified)

Leigh Pavlik , PA-C

Physician Assistant - Surgical

NPI 1184015497

Physician Assistant (Certified)

Thomas Wiggins , CSA

Physician Assistant - Surgical

NPI 1184647034

Caryn Lee , CSA CFA

Physician Assistant - Surgical

NPI 1205852266

CSACFA

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location April 19, 2018

Registered at 4320 E. PRESIDIO STREET #101, MESA, AZ 852153031 (Tel: 4807069430)

✅

NPI Profile Active February 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 29, 2016

Registered at 4320 E. PRESIDIO STREET #101, MESA, AZ 852151165 (Tel: 4807069430)

📍

Updated Business Mailing Address February 29, 2016

Registered at 5155 E. EAGLE DRIVE #20730, MESA, AZ 852773031 (Tel: 4807069430)

👤

Provider Name / Credentials Updated February 29, 2016

Recorded as DEREK TAYLOR, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 29, 2016

Physician Assistant (License #5941 in AZ)

🟢

Initial NPI Registration & Enumeration November 13, 2014

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: 1093111304

Entity Type:

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

Enumeration Date: November 13, 2014

Last Update: April 19, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5155 E. Eagle Drive #20730

Mesa, AZ 852773031

Phone: 4807069430

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.