Active NPI 1295169001 Individual Practitioner Male Practitioner

Derral Edward Hawthorne , PA-C

Physician Assistant • Gold Beach, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Derral Hawthorne, PA-C is a certified Physician Assistant practicing in Gold Beach, OR. With approximately 13 years of clinical experience since completing medical education in 2013, Derral Hawthorne delivers high-quality medical care to the local community at 94180 2ND ST.

Derral Hawthorne maintains professional affiliations with Curry Health District, North Bend Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

94180 2nd St

Gold Beach, OR 974448733

Telephone 5412477047

Fax 5412470123

Associated Practice Facility / Clinic

🏢 Curry Health District Facility NPI 1770303968

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 Physician Assistant in Gold Beach, OR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -3.5 yrs vs City Avg

City Avg: 16.5 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Gold Beach, OR (2106 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hawthorne (13 Years) 13 Yrs

Gold Beach Specialty Average (16.5 Years) 16.5 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	103	79	$310.76	$102.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$270.00	$106.10
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	73	57	$39.00	$13.23
99213 Established patient office or other outpatient visit, typically 15 minutes	44	43	$220.00	$72.94
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	18	16	$15.00	$6.01
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$391.00	$135.54

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	104	73	$312.00	$102.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$270.00	$107.73
99213 Established patient office or other outpatient visit, typically 15 minutes	59	49	$220.00	$74.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	11	$35.00	$11.78
90662 Influenza vaccine split virus, preservative free	11	11	$84.00	$71.93
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$404.00	$137.62
G0008 Administration of influenza virus vaccine	11	11	$40.00	$25.70
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	11	11	$15.00	$6.10

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	75	56	$293.33	$106.11
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$213.19	$75.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$270.00	$108.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	20	$46.00	$11.89
G0008 Administration of influenza virus vaccine	21	21	$27.14	$24.49
90662 Influenza vaccine split virus, preservative free	19	19	$80.42	$67.87
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	14	14	$22.86	$5.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	64	$174.00	$75.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	38	$257.17	$107.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	15	$60.00	$11.78
0012A Adm sarscov2 100mcg/0.5ml2nd	26	26	$40.00	$33.18
0011A Adm sarscov2 100mcg/0.5ml1st	20	20	$40.50	$31.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$257.00	$93.07
90662 Influenza vaccine split virus, preservative free	11	11	$67.00	$65.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	86	71	$174.00	$61.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	33	$256.00	$90.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$270.00	$96.36
G0442 Annual alcohol misuse screening, 5 to 15 minutes	26	26	$43.00	$15.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$257.00	$89.44
99441 Telephone medical discussion with physician, 5-10 minutes	12	11	$104.00	$37.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	73	$174.00	$61.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$256.00	$90.25
96160 Administration and interpretation of patient-focused health risk assessment	16	16	$10.00	$2.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$270.00	$96.16
G0442 Annual alcohol misuse screening, 5 to 15 minutes	12	12	$43.00	$14.93
G0444 Annual depression screening, 5 to 15 minutes	11	11	$35.00	$14.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$257.00	$90.06

Medical Specialties & State Licenses

CMS Verified: 2025-03-03

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA191287

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

North Bend Medical Center Inc

1900 Woodland Dr, Coos Bay, OR 974202045

Phone: 5412675151

Curry Health District

94180 2nd St, Gold Beach, OR 974448733

Phone: 5412473000

North Bend Medical Center Inc

1900 Woodland Dr, Coos Bay, OR 974202045

Phone: 5412675151

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Reginald Williams , MD

Family Medicine

NPI 1225014632

Doctor of Medicine (M.D.)

Dr. Laurence Taylor , DO

Family Medicine

NPI 1598741902

Doctor of Osteopathic Medicine (D.O.)

Linda Almeida , NP

Nurse Practitioner - Family

NPI 1831110428

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2025

Physician Assistant (License #PA191287 in OR)

📍

Updated Practice Location November 29, 2018

Registered at 94180 2ND ST, GOLD BEACH, OR 974448733 (Tel: 5412477047)

📍

Updated Business Mailing Address November 29, 2018

Registered at 94180 2ND ST, GOLD BEACH, OR 974448733 (Tel: 5412477047)

✅

NPI Profile Active August 28, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 28, 2013

Registered at 560 N CAMINO MERCADO, CASA GRANDE, AZ 851225759 (Tel: 5208365538)

📍

Updated Business Mailing Address August 28, 2013

Registered at 3550 E SEBASTIAN LN, GILBERT, AZ 852973059

👤

Provider Name / Credentials Updated August 28, 2013

Recorded as DERRAL HAWTHORNE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2013

Physician Assistant (License #5484 in AZ)

🟢

Initial NPI Registration & Enumeration August 28, 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: 1295169001

Entity Type:

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

Enumeration Date: August 28, 2013

Last Update: March 03, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

94180 2nd St

Gold Beach, OR 974448733

Phone: 5412473940

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.