Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1245228303 Deactivated / Inactive NPI Male Practitioner

Dr. George Dale Derby , DO

Anesthesiology • Owasso, OK

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. George Dale Derby has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 12, 2005
NPI Deactivation Date December 22, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. George Dale Derby, DO was a registered Anesthesiology practicing in Owasso, OK. Throughout an active medical career spanning 16 years, Dr. Derby provided care at the practice location at 10502 N 110TH EAST AVE until profile deactivation on 2021-12-22.

Historical Medicare Part B clinical services included ultrasonic guidance imaging supervision and interpretation for insertion of needle, injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve), injection of anesthetic agent, other peripheral nerve or branch. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

10502 N 110th East Ave

Owasso, OK 740556627

Telephone 9183768000
Associated Practice Facility / Clinic
🏢 Bmc Anesthesia Pc Facility NPI 1801829387

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Owasso, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Owasso, OK (640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
94.2% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle
18 18 $500.00 $29.15

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License OK 4126

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Rachael Butler

Registered Nurse - Lactation Consultant

NPI 1215853056
NPI 1295788107

Doctor of Osteopathic Medicine (D.O.)

Dr. Asif Sarfraz , MD

Emergency Medicine

NPI 1447454541

Doctor of Medicine (M.D.)

Jennifer Ngene

Nurse Practitioner - Family

NPI 1487332508
Morgan Coldwell , APRN

Nurse Practitioner - Acute Care

NPI 1871053769

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated December 22, 2021

Record deactivated on December 22, 2021

NPI Profile Active October 19, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2010

Registered at 10502 N 110TH EAST AVE, OWASSO, OK 740556627 (Tel: 9183768000)

📍
Updated Business Mailing Address October 19, 2010

Registered at 4500 S GARNETT RD, STE 300, TULSA, OK 741465229 (Tel: 9186649892)

👤
Provider Name / Credentials Updated October 19, 2010

Recorded as GEORGE DALE DERBY, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2010

Anesthesiology (License #4126 in OK)

🟢
Initial NPI Registration & Enumeration October 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. George Dale Derby. Be the first to share your experience!

Sign in to leave a review for Dr. George Dale Derby

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1245228303
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2005
Last Update: October 19, 2010
Deactivation Date: December 22, 2021

Mailing Address

4500 S Garnett Rd, Ste 300

Tulsa, OK 741465229

Phone: 9186649892

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.