Active NPI 1821544503 Individual Practitioner Male Practitioner

Jeremy Derickson , PA-C

Physician Assistant • Mesa, AZ

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jeremy Derickson, PA-C is a registered Physician Assistant practitioner in Mesa, AZ. With approximately 10 years of clinical practice since graduating from At Still University, Arizona School Of Dentistry & Oral Hlth in 2016, Jeremy Derickson provides healthcare services at the registered practice location at 3720 E PUEBLO AVE.

Jeremy Derickson is affiliated with Brown Road Family Medicine, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3720 E Pueblo Ave

Mesa, AZ 852061821

Telephone 9282003526

Associated Practice Facility / Clinic

🏢 Brown Road Family Medicine, Pllc Facility NPI 1518081066

Medicare Profile & Education

Medical School

At Still University, Arizona School Of Dentistry & Oral Hlth

Graduation Year

2016

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

10 Yrs +2.4 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

60.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Derickson (10 Years) 10 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
99213 Established patient office or other outpatient visit, typically 15 minutes	339	172	$115.00	$74.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	127	$165.00	$105.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	111	111	$300.00	$106.34
93000 Routine ekg using at least 12 leads including interpretation and report	39	38	$80.00	$11.76
81002 Urinalysis, manual test	22	21	$16.00	$3.41
69209 Removal of impacted ear wax by washing	19	18	$125.00	$18.14
G0444 Annual depression screening, 5 to 15 minutes	18	18	$35.00	$15.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	289	157	$115.00	$74.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	113	$165.00	$105.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	90	$300.00	$106.03
93000 Routine ekg using at least 12 leads including interpretation and report	45	42	$80.00	$11.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	15	$26.25	$11.64
81002 Urinalysis, manual test	20	18	$16.00	$3.41
69209 Removal of impacted ear wax by washing	17	13	$125.00	$18.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	436	207	$115.00	$74.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	88	$146.88	$106.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$300.00	$108.29
17003 Destruction of precancer skin growth, 2-14 growths	69	12	$52.50	$5.58
93000 Routine ekg using at least 12 leads including interpretation and report	50	48	$80.00	$11.86
81002 Urinalysis, manual test	34	25	$16.00	$3.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	13	$26.25	$11.88
17000 Destruction of skin growth	15	13	$132.00	$53.91
69209 Removal of impacted ear wax by washing	13	12	$125.00	$14.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	521	264	$115.00	$75.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	110	110	$300.00	$110.46
93000 Routine ekg using at least 12 leads including interpretation and report	57	54	$80.00	$12.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	39	$137.00	$107.87
81002 Urinalysis, manual test	40	32	$16.00	$3.48
17000 Destruction of skin growth	20	16	$132.00	$55.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	189	$137.00	$90.95
99213 Established patient office or other outpatient visit, typically 15 minutes	267	167	$115.00	$60.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	88	88	$300.00	$96.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	58	$195.00	$122.80
93000 Routine ekg using at least 12 leads including interpretation and report	59	57	$80.00	$14.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	18	$26.25	$11.90
81002 Urinalysis, manual test	28	21	$16.00	$3.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	357	242	$137.00	$90.57
99213 Established patient office or other outpatient visit, typically 15 minutes	330	211	$115.00	$61.87
17003 Destruction of precancer skin growth, 2-14 growths	217	20	$52.50	$4.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	95	95	$300.00	$96.50
93000 Routine ekg using at least 12 leads including interpretation and report	77	76	$80.00	$14.15
81002 Urinalysis, manual test	57	44	$16.00	$3.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	56	37	$26.25	$13.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	46	$195.00	$121.42
17000 Destruction of skin growth	28	22	$132.00	$52.50
J0698 Injection, cefotaxime sodium, per gm	16	15	$152.00	$3.07
69209 Removal of impacted ear wax by washing	15	14	$125.00	$11.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	14	12	$42.00	$1.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$115.00	$60.79

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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

Brown Road Family Medicine, Pllc

2310 E Brown Rd, Mesa, AZ 852135226

Phone: 4806499000

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 21, 2016

Registered at 3720 E PUEBLO AVE, MESA, AZ 852061821 (Tel: 9282003526)

📍

Updated Business Mailing Address October 21, 2016

Registered at 2310 E BROWN RD, MESA, AZ 852135226 (Tel: 4806499000)

👤

Provider Name / Credentials Updated October 21, 2016

Recorded as JEREMY DERICKSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2016

Physician Assistant

🟢

Initial NPI Registration & Enumeration August 31, 2016

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: 1821544503

Entity Type:

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

Enumeration Date: August 31, 2016

Last Update: October 21, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2310 E Brown Rd

Mesa, AZ 852135226

Phone: 4806499000

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.