Active NPI 1548310311 Individual Practitioner Male Practitioner

Dr. Derek Francis Papp , MD

Orthopaedic Surgery • Tavernier, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Derek Papp, MD is a certified Orthopaedic Surgery practicing in Tavernier, FL. With approximately 21 years of clinical experience since graduating from Johns Hopkins University School Of Medicine in 2005, Dr. Papp delivers high-quality medical care to the local community at 91550 OVERSEAS HWY STE 207.

Dr. Papp maintains professional affiliations with Baptist Health Medical Group Upper Keys Llc, Baptist Health Medical Group Orthopedics, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

91550 Overseas Hwy Ste 207

Tavernier, FL 330702513

Telephone 3054343300

Fax 7865339529

Associated Practice Facility / Clinic

🏢 Baptist Health Medical Group Upper Keys, Llc Facility NPI 1902569452

Medicare Profile & Education

Medical School

Johns Hopkins University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Tavernier, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs Matches City Avg

City Avg: 21.0 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Tavernier, FL (1597 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Papp (21 Years) 21 Yrs

Tavernier Specialty Average (21.0 Years) 21.0 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,219	209	$5.00	$0.97
99213 Established patient office or other outpatient visit, typically 15 minutes	437	310	$381.45	$100.14
20610 Aspiration and/or injection of fluid from large joint	332	206	$285.35	$68.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	160	160	$476.00	$123.95
73564 X-ray of knee, 4 or more views	156	129	$194.00	$50.85
73030 X-ray of shoulder, minimum of 2 views	156	113	$144.00	$37.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	79	$538.00	$140.23
73502 X-ray of hip, 2-3 views	45	34	$195.00	$51.52
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	35	14	$130.00	$72.31
73560 X-ray of knee, 1-2 views	31	21	$142.00	$37.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$238.00	$62.17
73130 X-ray of hand, minimum of 3 views	20	16	$154.00	$40.48
73080 X-ray of elbow, minimum of 3 views	18	14	$136.00	$35.91
73630 X-ray of foot, minimum of 3 views	16	12	$142.00	$37.50
73610 X-ray of ankle, minimum of 3 views	15	12	$151.00	$39.71
29881 Removal of knee cartilage using an endoscope	11	11	$2381.00	$472.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,192	203	$5.00	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	450	325	$379.00	$97.05
20610 Aspiration and/or injection of fluid from large joint	328	205	$282.89	$67.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	174	174	$481.00	$123.01
73564 X-ray of knee, 4 or more views	133	105	$193.00	$49.48
73030 X-ray of shoulder, minimum of 2 views	105	88	$144.00	$36.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	86	$535.27	$137.26
73560 X-ray of knee, 1-2 views	72	41	$143.00	$36.68
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	50	21	$346.00	$74.23
73020 X-ray of shoulder, 1 view	46	22	$92.00	$23.50
73502 X-ray of hip, 2-3 views	42	33	$194.00	$49.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$238.00	$60.87
73130 X-ray of hand, minimum of 3 views	22	17	$154.00	$39.46
73610 X-ray of ankle, minimum of 3 views	21	16	$154.00	$39.46
73110 X-ray of wrist, minimum of 3 views	19	11	$170.00	$43.63
73080 X-ray of elbow, minimum of 3 views	17	12	$136.00	$34.94
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$4700.67	$1257.11
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$767.67	$205.22
72100 X-ray of lower and sacral spine, 2-3 views	12	11	$166.00	$42.55
27447 Replacement of knee joint, both sides of knee	12	11	$5747.75	$1520.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$708.00	$156.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,115	209	$5.00	$1.13
99213 Established patient office or other outpatient visit, typically 15 minutes	503	354	$395.00	$98.72
20610 Aspiration and/or injection of fluid from large joint	318	201	$296.00	$68.47
73564 X-ray of knee, 4 or more views	169	135	$199.00	$49.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	160	160	$499.00	$125.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	109	$552.00	$138.20
73030 X-ray of shoulder, minimum of 2 views	115	94	$150.00	$37.50
73560 X-ray of knee, 1-2 views	75	36	$148.00	$37.20
73502 X-ray of hip, 2-3 views	44	38	$202.00	$50.79
73110 X-ray of wrist, minimum of 3 views	44	26	$177.00	$44.30
73130 X-ray of hand, minimum of 3 views	41	37	$158.00	$39.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	34	$248.00	$61.07
27447 Replacement of knee joint, both sides of knee	23	22	$5901.35	$1561.89
73080 X-ray of elbow, minimum of 3 views	21	17	$141.00	$35.34
73020 X-ray of shoulder, 1 view	19	12	$95.00	$23.72
72100 X-ray of lower and sacral spine, 2-3 views	18	17	$172.00	$43.11
20600 Aspiration and/or injection of fluid from small joint	18	17	$240.00	$53.56
73610 X-ray of ankle, minimum of 3 views	16	13	$160.00	$40.15
73630 X-ray of foot, minimum of 3 views	15	15	$150.00	$37.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$739.00	$185.10
72040 X-ray of upper spine, 2-3 views	12	12	$171.00	$42.76
25600 Closed treatment of broken forearm bones	11	11	$1556.00	$391.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,560	252	$5.00	$1.27
99213 Established patient office or other outpatient visit, typically 15 minutes	573	376	$369.83	$98.46
20610 Aspiration and/or injection of fluid from large joint	407	232	$272.00	$64.88
73564 X-ray of knee, 4 or more views	209	163	$183.00	$48.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$458.00	$122.83
73030 X-ray of shoulder, minimum of 2 views	146	119	$137.00	$36.67
73560 X-ray of knee, 1-2 views	84	32	$139.00	$36.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	69	$523.00	$138.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	49	$231.35	$60.42
73110 X-ray of wrist, minimum of 3 views	49	28	$162.00	$43.11
73130 X-ray of hand, minimum of 3 views	48	39	$147.00	$38.82
73502 X-ray of hip, 2-3 views	46	41	$187.00	$49.49
73610 X-ray of ankle, minimum of 3 views	25	22	$147.00	$39.18
73080 X-ray of elbow, minimum of 3 views	23	14	$131.00	$34.54
72100 X-ray of lower and sacral spine, 2-3 views	22	22	$160.00	$40.68
27447 Replacement of knee joint, both sides of knee	20	19	$5785.00	$1591.60
20600 Aspiration and/or injection of fluid from small joint	12	12	$215.00	$51.42
29827 Repair of shoulder rotator cuff using an endoscope	12	11	$4781.00	$1280.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,228	178	$5.00	$1.47
99213 Established patient office or other outpatient visit, typically 15 minutes	490	311	$323.20	$81.66
20610 Aspiration and/or injection of fluid from large joint	306	169	$285.66	$64.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$469.40	$118.21
73564 X-ray of knee, 4 or more views	151	114	$186.00	$46.59
73030 X-ray of shoulder, minimum of 2 views	101	77	$141.00	$35.30
73502 X-ray of hip, 2-3 views	43	39	$192.00	$48.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$471.00	$118.69
73110 X-ray of wrist, minimum of 3 views	40	22	$165.00	$41.35
73130 X-ray of hand, minimum of 3 views	36	25	$149.00	$36.76
73560 X-ray of knee, 1-2 views	25	12	$143.00	$35.96
73080 X-ray of elbow, minimum of 3 views	24	18	$133.00	$33.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$215.00	$49.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,047	175	$5.00	$1.60
99213 Established patient office or other outpatient visit, typically 15 minutes	492	310	$321.00	$78.95
20610 Aspiration and/or injection of fluid from large joint	300	172	$277.00	$61.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	217	217	$478.00	$117.03
73564 X-ray of knee, 4 or more views	28	23	$177.00	$43.66
64721 Release and/or relocation of hand nerve	20	17	$2028.00	$498.97
73030 X-ray of shoulder, minimum of 2 views	19	17	$130.00	$32.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	639	113	$5.00	$1.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	233	233	$477.00	$117.04
20610 Aspiration and/or injection of fluid from large joint	200	115	$277.00	$60.91
99213 Established patient office or other outpatient visit, typically 15 minutes	190	128	$315.00	$77.65
73564 X-ray of knee, 4 or more views	33	28	$169.00	$41.69
73030 X-ray of shoulder, minimum of 2 views	23	17	$126.00	$31.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$605.00	$143.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$724.00	$178.73
73502 X-ray of hip, 2-3 views	17	11	$176.00	$43.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	128	$154.85	$75.64
20610 Aspiration and/or injection of fluid from large joint	135	97	$197.24	$73.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	118	22	$23.36	$1.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$246.74	$114.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$93.00	$46.75

Medical Specialties & State Licenses

CMS Verified: 2021-04-14

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL ME106574

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License MD D0072350

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Jhh Resident Code

T4888 (MD)

Hospital & Practice Group Affiliations

Baptist Health Medical Group Orthopedics, Llc

975 Baptist Way, Homestead, FL 330337600

Phone: 7862438660

Baptist Health Medical Group Upper Keys Llc

91550 Overseas Hwy, Tavernier, FL 330702513

Phone: 3054343205

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Annie Plate , MD

Orthopaedic Surgery - Hand Surgery

NPI 1356704548

Doctor of Medicine (M.D.)

Wesley Arnold , PA-C

Physician Assistant

NPI 1528201886

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location April 14, 2021

Registered at 91550 OVERSEAS HWY STE 207, TAVERNIER, FL 330702513 (Tel: 3054343300)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2021

Orthopaedic Surgery (License #ME106574 in FL)

📍

Updated Practice Location April 06, 2020

Registered at 975 BAPTIST WAY STE 202, HOMESTEAD, FL 330337600 (Tel: 7862438660)

📍

Updated Business Mailing Address April 06, 2020

Registered at PO BOX 100905, ATLANTA, GA 303840905

✅

NPI Profile Active September 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2016

Registered at 5601 LOCH RAVEN BLVD, RUSSELL MORGAN BUILDING SUITE 405, BALTIMORE, MD 212392945 (Tel: 4434444764)

📍

Updated Business Mailing Address September 12, 2016

Registered at 23 PIERSIDE DR APT 325, BALTIMORE, MD 212305470

👤

Provider Name / Credentials Updated September 12, 2016

Recorded as DEREK PAPP, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2016

Orthopaedic Surgery (License #D0072350 in MD)

🟢

Initial NPI Registration & Enumeration January 11, 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: 1548310311

Entity Type:

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

Enumeration Date: January 11, 2007

Last Update: April 14, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 100905

Atlanta, GA 303840905

Phone: 3054343300

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.