Active NPI 1295895159 Individual Practitioner Male Practitioner

Dr. Derek James Donegan , MD

Orthopaedic Surgery • Philadelphia, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Derek Donegan, MD is a certified Orthopaedic Surgery practicing in Philadelphia, PA. With approximately 20 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 2006, Dr. Donegan delivers high-quality medical care to the local community at 3737 MARKET ST.

Dr. Donegan is affiliated with University Of Penn - Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, treatment of broken neck of thigh bone with bone implant. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3737 Market St
7th Floor

Philadelphia, PA 191045545

Telephone 2156623340

Fax 2152228875

Associated Practice Facility / Clinic

🏢 University Of Penn - Medical Group Facility NPI 1659488351

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Philadelphia, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -1.9 yrs vs City Avg

City Avg: 21.9 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

237 Specialists

Practicing in Philadelphia, PA (1345 Statewide)

Telehealth Adoption Rate

4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Donegan (20 Years) 20 Yrs

Philadelphia Specialty Average (21.9 Years) 21.9 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	91	70	$94.54	$66.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	51	$171.00	$98.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$338.00	$135.94
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$3972.00	$1276.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	74	$93.00	$68.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	51	$170.73	$99.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$334.05	$138.72
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	12	$3805.00	$1271.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	67	$94.61	$70.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	55	$140.00	$102.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$265.00	$142.99
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$3972.00	$1330.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	127	92	$95.01	$71.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	43	$140.00	$106.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$265.00	$145.14
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$3972.00	$1351.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	106	$93.00	$55.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$140.00	$81.71
20610 Aspiration and/or injection of fluid from large joint	15	13	$150.73	$57.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	143	$93.00	$54.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$140.00	$81.86
99213 Established patient office or other outpatient visit, typically 15 minutes	48	37	$110.50	$52.44
20610 Aspiration and/or injection of fluid from large joint	23	19	$161.17	$56.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$162.86	$85.35
27447 Replacement of knee joint, both sides of knee	13	13	$6570.00	$1476.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	121	$93.63	$54.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$140.00	$81.72
99213 Established patient office or other outpatient visit, typically 15 minutes	34	24	$107.12	$55.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$145.45	$80.27
20610 Aspiration and/or injection of fluid from large joint	20	17	$161.55	$55.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	79	$93.00	$53.60
99213 Established patient office or other outpatient visit, typically 15 minutes	43	31	$112.53	$73.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$148.33	$110.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$140.00	$81.44

Medical Specialties & State Licenses

CMS Verified: 2026-03-10

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License PA MD436412

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

NUCC Taxonomy Code: 207X00000X

State License NJ 25MA08965100

Hospital & Practice Group Affiliations

University Of Penn - Medical Group

3400 Spruce St, Philadelphia, PA 191044238

Phone: 2156623340

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Ronald Heppenstall , MD

Orthopaedic Surgery

NPI 1003844564

Doctor of Medicine (M.D.)

Dr. Samir Mehta , MD

Orthopaedic Surgery

NPI 1003851817

Doctor of Medicine (M.D.)

Dr. Jean-Claude D'alleyrand , MD

Orthopaedic Surgery

NPI 1063422442

Doctor of Medicine (M.D.)

Dr. J Fisher , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1073518056

Doctor of Medicine (M.D.)

Craig Katz , PA-C

Physician Assistant

NPI 1073555496

Physician Assistant (Certified)

Anthony Creato , PA-C

Physician Assistant

NPI 1093145534

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2026

Orthopaedic Surgery (License #MD436412 in PA)

✅

NPI Profile Active October 31, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 31, 2014

Registered at 3737 MARKET ST, 7TH FLOOR, PHILADELPHIA, PA 191045545 (Tel: 2156623340)

📍

Updated Business Mailing Address October 31, 2014

Registered at 3737 MARKET ST, 7TH FLOOR, PHILADELPHIA, PA 191045545 (Tel: 2156623340)

👤

Provider Name / Credentials Updated October 31, 2014

Recorded as DEREK DONEGAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2014

Orthopaedic Surgery (License #MD436412 in PA)

🟢

Initial NPI Registration & Enumeration December 11, 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: 1295895159

Entity Type:

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

Enumeration Date: December 11, 2006

Last Update: March 10, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3737 Market St, 7th Floor

Philadelphia, PA 191045545

Phone: 2156623340

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.