Active NPI 1548605199 Individual Practitioner Male Practitioner

Dr. Micah Jon Derby , DO

Internal Medicine • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Micah Derby, DO is a certified Internal Medicine practicing in Tulsa, OK. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Derby delivers high-quality medical care to the local community at 6600 S YALE AVE STE 650.

Dr. Derby is affiliated with Warren Clinic Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6600 S Yale Ave Ste 650

Tulsa, OK 741363342

Telephone 9185027800

Fax 9185027815

Associated Practice Facility / Clinic

🏢 Osu Center For Health Sciences Facility NPI 1043789498

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tulsa, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -7.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

326 Specialists

Practicing in Tulsa, OK (1179 Statewide)

Telehealth Adoption Rate

19.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Derby (13 Years) 13 Yrs

Tulsa Specialty Average (20.0 Years) 20.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	93	$231.33	$116.40
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	135	91	$31.60	$15.07
99213 Established patient office or other outpatient visit, typically 15 minutes	72	56	$165.80	$83.41
G0008 Administration of influenza virus vaccine	20	20	$41.00	$30.07
90653 Vaccine for influenza for injection into muscle	17	17	$90.00	$79.60
90471 Administration of 1 vaccine	12	11	$38.55	$18.06

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	168	105	$241.69	$118.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	104	63	$196.00	$114.69
99213 Established patient office or other outpatient visit, typically 15 minutes	94	72	$170.63	$82.62
99238 Hospital discharge day management, 30 minutes or less	32	32	$136.76	$77.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	13	$26.52	$13.27
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	21	21	$529.48	$254.57
G0009 Administration of pneumococcal vaccine	19	19	$4.92	$4.57
90756 Vaccine for influenza for injection into muscle	19	18	$53.12	$30.05
90471 Administration of 1 vaccine	19	17	$37.28	$16.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$258.40	$125.25
G0008 Administration of influenza virus vaccine	18	18	$4.92	$4.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$379.20	$143.28

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	274	143	$243.82	$116.20
99213 Established patient office or other outpatient visit, typically 15 minutes	153	98	$172.31	$83.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	145	87	$196.17	$97.22
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	48	48	$38.44	$21.09
G0008 Administration of influenza virus vaccine	48	48	$4.92	$4.82
90471 Administration of 1 vaccine	40	28	$31.21	$15.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$379.53	$187.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	11	$26.92	$13.30
99238 Hospital discharge day management, 30 minutes or less	20	20	$136.84	$67.94
G0009 Administration of pneumococcal vaccine	13	13	$4.92	$4.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$344.25	$170.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$318.56	$158.04
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$529.48	$277.65

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	322	170	$223.76	$122.52
99213 Established patient office or other outpatient visit, typically 15 minutes	157	100	$154.17	$85.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	149	88	$192.51	$99.82
90756 Vaccine for influenza for injection into muscle	49	49	$51.86	$28.37
G0008 Administration of influenza virus vaccine	47	46	$6.21	$5.38
99238 Hospital discharge day management, 30 minutes or less	40	39	$132.77	$69.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	34	$375.00	$193.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$304.58	$164.24
G0009 Administration of pneumococcal vaccine	18	17	$4.92	$4.92
82962 Blood glucose (sugar) test performed by hand-held instrument	18	15	$5.55	$3.25
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$318.74	$161.43
99217 Hospital observation care on day of discharge	15	15	$132.21	$69.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	14	$26.18	$13.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$305.99	$161.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$241.65	$126.88
99220 Hospital observation care, typically 70 minutes	13	13	$338.73	$175.83

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	290	160	$190.20	$104.19
99213 Established patient office or other outpatient visit, typically 15 minutes	209	132	$130.74	$69.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	91	56	$186.18	$103.36
G0008 Administration of influenza virus vaccine	44	44	$35.24	$15.76
99238 Hospital discharge day management, 30 minutes or less	29	29	$129.70	$72.00
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	25	25	$44.49	$29.84
99442 Telephone medical discussion with physician, 11-20 minutes	23	20	$48.91	$49.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$361.40	$200.80
82962 Blood glucose (sugar) test performed by hand-held instrument	19	17	$6.07	$3.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$256.04	$141.88
99220 Hospital observation care, typically 70 minutes	15	15	$330.58	$183.63
99217 Hospital observation care on day of discharge	13	13	$129.11	$71.62
90756 Vaccine for influenza for injection into muscle	13	13	$47.82	$27.34
G0009 Administration of pneumococcal vaccine	11	11	$35.24	$15.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$288.71	$156.08
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$29.43	$16.23

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	558	295	$193.06	$103.03
99213 Established patient office or other outpatient visit, typically 15 minutes	223	184	$131.50	$70.52
36415 Insertion of needle into vein for collection of blood sample	210	155	$5.55	$2.94
G0008 Administration of influenza virus vaccine	80	80	$35.24	$15.46
90756 Vaccine for influenza for injection into muscle	75	75	$47.22	$26.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	74	74	$206.16	$111.08
G0444 Annual depression screening, 5 to 15 minutes	51	51	$31.65	$17.05
G0442 Annual alcohol misuse screening, 5 to 15 minutes	48	48	$31.65	$17.05
G0009 Administration of pneumococcal vaccine	42	41	$35.24	$15.46
85610 Blood test, clotting time	33	11	$8.08	$4.28
90670 Pneumococcal vaccine for injection into muscle	28	28	$382.83	$202.80
81003 Automated urinalysis test	24	23	$4.61	$2.44
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	14	$189.18	$102.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$293.60	$158.37
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	20	20	$46.77	$25.20
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	17	16	$26.77	$14.43
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$202.33	$107.17

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	905	311	$186.04	$101.56
36415 Insertion of needle into vein for collection of blood sample	431	240	$5.55	$2.93
G0008 Administration of influenza virus vaccine	104	102	$43.51	$18.90
90662 Influenza vaccine split virus, preservative free	104	102	$98.58	$52.22
85610 Blood test, clotting time	61	13	$8.97	$4.75
G0009 Administration of pneumococcal vaccine	46	44	$43.51	$18.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	43	30	$36.10	$19.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	39	$252.43	$138.16
90670 Pneumococcal vaccine for injection into muscle	34	34	$369.95	$195.98
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	33	28	$25.53	$13.86
81003 Automated urinalysis test	32	28	$5.12	$2.71
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	24	13	$72.24	$39.13
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$125.55	$65.14
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$29.36	$15.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$282.58	$151.51

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	635	296	$189.31	$99.77
36415 Insertion of needle into vein for collection of blood sample	371	235	$5.55	$2.93
G0008 Administration of influenza virus vaccine	135	135	$43.51	$23.05
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	129	129	$31.05	$17.34
99213 Established patient office or other outpatient visit, typically 15 minutes	100	72	$128.32	$67.16
85610 Blood test, clotting time	81	16	$9.97	$5.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	72	15	$43.51	$23.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	53	$255.63	$134.46
G0009 Administration of pneumococcal vaccine	44	44	$43.51	$23.05
81003 Automated urinalysis test	42	33	$5.70	$3.02
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	26	$94.32	$50.20
90670 Pneumococcal vaccine for injection into muscle	29	29	$356.38	$188.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$290.43	$155.13
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	19	$34.80	$18.51
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$182.87	$96.87
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$29.46	$15.68

Medical Specialties & State Licenses

CMS Verified: 2024-10-15

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OK 5550

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200541190A (OK)

Medicaid State Provider ID

200541190B (OK)

Commercial Insurance / Payer ID Medicare

442012YMSD (OK)

Hospital & Practice Group Affiliations

Warren Clinic Inc

6600 S Yale Ave, Tulsa, OK 741363331

Phone: 9184886000

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Michael Hiebert , DO

Internal Medicine

NPI 1083154215

Doctor of Osteopathic Medicine (D.O.)

Dr. Teresa Hardesty , DO

Internal Medicine

NPI 1528446804

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location October 15, 2024

Registered at 6600 S YALE AVE STE 650, TULSA, OK 741363342 (Tel: 9185027800)

📍

Updated Business Mailing Address October 15, 2024

Registered at 6600 S YALE AVE STE 1200, TULSA, OK 741363333

📍

Updated Practice Location September 03, 2019

Registered at 717 S HOUSTON AVE STE 304, TULSA, OK 741279023 (Tel: 9183825064)

📍

Updated Business Mailing Address September 03, 2019

Registered at 717 S HOUSTON AVE STE 304, TULSA, OK 741279023 (Tel: 9183825064)

✅

NPI Profile Active July 20, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 20, 2016

Registered at 1205 W MAIN ST, COLLINSVILLE, OK 740213114 (Tel: 9189380040)

📍

Updated Business Mailing Address July 20, 2016

Registered at 1205 W MAIN ST, COLLINSVILLE, OK 740213114 (Tel: 9189380040)

👤

Provider Name / Credentials Updated July 20, 2016

Recorded as MICAH DERBY, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2016

Internal Medicine (License #5550 in OK)

🟢

Initial NPI Registration & Enumeration May 08, 2013

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: 1548605199

Entity Type:

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

Enumeration Date: May 08, 2013

Last Update: October 15, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6600 S Yale Ave Ste 1200

Tulsa, OK 741363333

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.