Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912538562 Individual Practitioner Female Practitioner

Kathleen Sarah Derr , PA-C

Physician Assistant • Dayton, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kathleen Derr, PA-C is a certified Physician Assistant practicing in Dayton, OH. With approximately 7 years of clinical experience since completing medical education in 2019, Kathleen Derr delivers high-quality medical care to the local community at 425 W GRAND AVE STE 2002.

Kathleen Derr is affiliated with Kettering Independent Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

425 W Grand Ave Ste 2002

Dayton, OH 454054722

Telephone 9374254144
Fax 9374254146
Associated Practice Facility / Clinic
🏢 Dayton Osteopathic Hospital Facility NPI 1588630347

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dayton, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -1.7 yrs vs City Avg
City Avg: 8.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
250 Specialists

Practicing in Dayton, OH (5376 Statewide)

Telehealth Adoption Rate
5.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
63.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Derr (7 Years) 7 Yrs
Dayton Specialty Average (8.7 Years) 8.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
53 51 $279.00 $102.47
99213 Established patient office or other outpatient visit, typically 15 minutes
47 46 $188.00 $71.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
27 27 $427.00 $130.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
18 18 $113.00 $45.06
99441 Telephone medical discussion with physician, 5-10 minutes
15 14 $60.00 $44.77

Medical Specialties & State Licenses

CMS Verified: 2022-10-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.006351RX

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

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Kettering Independent Medical Group Inc

7700 Washington Village Dr, Centerville, OH 454594094

Phone: 9375310195

Secondary Practice Locations

30 E Apple St Ste 5254

Dayton, OH 454092939

Phone: 9372084200

Practice Associates & Co-Workers

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

12 Associated Practitioners
Dr. Shashank Sarvepalli , MD

Internal Medicine - Gastroenterology

NPI 1124445002

Doctor of Medicine (M.D.)

Christie Astor , CNP

Nurse Practitioner - Family

NPI 1154788867

Certified Nurse Practitioner

Evelyn Robbins , APRN-CNP

Nurse Practitioner - Family

NPI 1275354979

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Charles Oberer , MD

Internal Medicine - Gastroenterology

NPI 1477870178

Doctor of Medicine (M.D.)

Jeri Downey , FNP

Nurse Practitioner - Family

NPI 1528714888

Family Nurse Practitioner

Dr. Nazir Ahmed , MD

Internal Medicine

NPI 1568872224

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location October 04, 2022

Registered at 425 W GRAND AVE STE 2002, DAYTON, OH 454054722 (Tel: 9374254144)

📍
Updated Business Mailing Address October 04, 2022

Registered at 1 PRESTIGE PL STE 550, MIAMISBURG, OH 453426115 (Tel: 9377621310)

📍
Updated Practice Location March 02, 2020

Registered at 30 E APPLE ST STE 5254, DAYTON, OH 454092939 (Tel: 9372084200)

📍
Updated Business Mailing Address March 02, 2020

Registered at 3170 KETTERING BLVD BLDG B3, MORAINE, OH 454391924 (Tel: 9379913188)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2020

Physician Assistant (License #50.006351RX in OH)

NPI Profile Active February 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2020

Registered at 30 E APPLE ST STE 6257, DAYTON, OH 454092939 (Tel: 2102734082)

📍
Updated Business Mailing Address February 03, 2020

Registered at 2239 BRADLEY CT, BELLBROOK, OH 453051414 (Tel: 2102734082)

👤
Provider Name / Credentials Updated February 03, 2020

Recorded as KATHLEEN DERR, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2020

Physician Assistant

🟢
Initial NPI Registration & Enumeration February 03, 2020

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: 1912538562
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2020
Last Update: October 04, 2022
Sole Proprietor: No

Mailing Address

1 Prestige Pl Ste 550

Miamisburg, OH 453426115

Phone: 9377621310

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.