Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649014614 Individual Practitioner Female Practitioner

Mikayla Marie Van Dervoort , PA-C

Physician Assistant • Saugus, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mikayla Van Dervoort, PA-C is a certified Physician Assistant practicing in Saugus, MA. With approximately 2 years of clinical experience since completing medical education in 2024, Mikayla Van Dervoort delivers high-quality medical care to the local community at 180 MAIN ST.

Mikayla Van Dervoort maintains professional affiliations with Pratt Medical Group Inc, Convenientmd - Ffs Uc Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established 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

180 Main St

Saugus, MA 019063213

Telephone 3396740978
Fax 3395740914
Associated Practice Facility / Clinic
🏢 Convenientmd Llc Facility NPI 1912622085

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Saugus, MA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -4.0 yrs vs City Avg
City Avg: 6.0 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Saugus, MA (4746 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van Dervoort (2 Years) 2 Yrs
Saugus Specialty Average (6.0 Years) 6.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
19 19 $325.30 $144.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 13 $211.74 $104.20

Medical Specialties & State Licenses

CMS Verified: 2024-09-16
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

Convenientmd - Ffs Uc Llc

40 Davis Straits, Falmouth, MA 025403906

Phone: 7742553010

Convenientmd - Ffs Uc Llc

180 Main St, Saugus, MA 019064502

Phone: 3396740978

Pratt Medical Group Inc

800 Washigton St, Boston, MA 021111552

Phone: 6176365000

Convenientmd - Ffs Uc Llc

210 Andover St, Peabody, MA 019601647

Phone: 9784883234

Convenientmd - Ffs Uc Llc

236 Cochituate Rd, Framingham, MA 017014627

Phone: 7742443227

Convenientmd - Ffs Uc Llc

181 Cambridge St, Burlington, MA 018032922

Phone: 7817300045

Convenientmd - Ffs Uc Llc

245 Hartford Ave, Bellingham, MA 020193007

Phone: 7742954355

Practice Associates & Co-Workers

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

3 Associated Practitioners
Sharon Jarmolowicz , PA

Physician Assistant

NPI 1073694733

Physician Assistant

Amber Contrastan , PA-C

Physician Assistant - Medical

NPI 1346678414

Physician Assistant (Certified)

NPI 1437686706

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 16, 2024

Registered at 180 MAIN ST, SAUGUS, MA 019063213 (Tel: 3396740978)

📍
Updated Business Mailing Address September 16, 2024

Registered at 360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 038017105 (Tel: 6034106700)

NPI Profile Active June 24, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2024

Registered at 355 ROUTE 284, WESTTOWN, NY 109983441 (Tel: 8457721249)

📍
Updated Business Mailing Address June 24, 2024

Registered at 355 ROUTE 284, WESTTOWN, NY 109983441 (Tel: 8457721249)

👤
Provider Name / Credentials Updated June 24, 2024

Recorded as MIKAYLA VAN DERVOORT, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 24, 2024

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: 1649014614
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2024
Last Update: September 16, 2024
Sole Proprietor: Yes

Mailing Address

360 Us Highway 1 Byp Unit 102

Portsmouth, NH 038017105

Phone: 6034106700

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.