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Active NPI 1851303622 Individual Practitioner Male Practitioner

Scott R Derenne , PA-C (PHYSICIAN ASSI

Physician Assistant • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Scott Derenne, PA-C (PHYSICIAN ASSI is a registered healthcare professional specializing in Physician Assistant in Phoenix, AZ. Practice services are available at 15225 S 15TH AVE under active NPI credentials.

Frequently performed procedures and clinical services include partial removal of spine bone with release of spinal cord and/or nerves, partial removal of middle spine bone with release of spinal cord and/or nerves, fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15225 S 15th Ave

Phoenix, AZ 850451904

Telephone 9207374014
Fax 9202888355

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
938 Specialists

Practicing in Phoenix, AZ (3711 Statewide)

Telehealth Adoption Rate
14.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
98.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves
19 13 $3310.00 $26.64
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
18 18 $10598.00 $131.48
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc
12 12 $15079.00 $214.90

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WI 913

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.

Practice Associates & Co-Workers

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

24 Associated Practitioners
Dr. Gerald Eckardt , MD

Neurological Surgery

NPI 1013189737

Doctor of Medicine (M.D.)

Alexandrea Sitter , PA-C

Physician Assistant

NPI 1134771355

Physician Assistant (Certified)

Ruth Scheck , RN

Registered Nurse

NPI 1164434759

Registered Nurse

Corrine Sauter , RN

Registered Nurse

NPI 1225334014

Registered Nurse

Lucas Tlachac , NP

Nurse Practitioner

NPI 1245979640

Nurse Practitioner

NPI 1265808745

Physician Assistant (Certified), Doctor of Physical Therapy

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 10, 2019

Registered at 15225 S 15TH AVE, PHOENIX, AZ 850451904 (Tel: 9207374014)

📍
Updated Business Mailing Address July 10, 2019

Registered at 15225 S 15TH AVE, PHOENIX, AZ 850451904 (Tel: 9207374014)

👤
Provider Name / Credentials Updated July 10, 2019

Recorded as SCOTT DERENNE, PA-C (PHYSICIAN ASSI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2019

Physician Assistant

NPI Profile Active September 18, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2008

Registered at 2845 GREENBRIER RD STE 330, GREEN BAY, WI 543116519 (Tel: 9202888350)

📍
Updated Business Mailing Address September 18, 2008

Registered at 2845 GREENBRIER RD STE 330, PO BOX 8900, GREEN BAY, WI 543088900 (Tel: 9202888350)

👤
Provider Name / Credentials Updated September 18, 2008

Recorded as SCOTT DERENNE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2008

Physician Assistant (License #913 in WI)

🟢
Initial NPI Registration & Enumeration August 12, 2006

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: 1851303622
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2006
Last Update: July 10, 2019
Sole Proprietor: No

Mailing Address

15225 S 15th Ave

Phoenix, AZ 850451904

Phone: 9207374014

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.