Active NPI 1760463889 Individual Practitioner Male Practitioner

Dr. Derek J Mccammon , DPM

Podiatrist - Foot & Ankle Surgery • Gresham, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Derek Mccammon, DPM is a certified Podiatrist - Foot & Ankle Surgery practicing in Gresham, OR. With approximately 30 years of clinical experience since graduating from California School Of Podiatric Medicine in 1996, Dr. Mccammon delivers high-quality medical care to the local community at 24076 SE STARK ST STE 110.

Dr. Mccammon is affiliated with Advantage Orthopedic And Sports Medicine Clinic Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of foot, minimum of 3 views, established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

24076 Se Stark St Ste 110

Gresham, OR 970303374

Telephone 5036615388

Fax 5036669393

Associated Practice Facility / Clinic

🏢 Advantage Orthopedic And Sports Medicine Clinic Llp Facility NPI 1598798365

Medicare Profile & Education

Medical School

California School Of Podiatric Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist - Foot & Ankle Surgery in Gresham, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +8.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 14.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Gresham, OR (117 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccammon (30 Years) 30 Yrs

Gresham Specialty Average (21.5 Years) 21.5 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
73630 X-ray of foot, minimum of 3 views	170	95	$83.60	$26.34
99213 Established patient office or other outpatient visit, typically 15 minutes	130	84	$270.42	$90.32
J1100 Injection, dexamethasone sodium phosphate, 1 mg	122	22	$8.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	70	$379.14	$124.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$496.87	$161.37
73610 X-ray of ankle, minimum of 3 views	54	29	$89.48	$29.66
11055 Removal of single thickened skin growth	33	21	$195.00	$71.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	27	$167.73	$54.02
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	26	11	$8.00	$6.90
11721 Removal of fingernails or toenails, 6 or more nails	26	11	$127.00	$43.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$331.00	$109.56
20605 Aspiration and/or injection of medium joint or joint capsule	15	13	$174.20	$60.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	155	96	$86.11	$29.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg	104	21	$8.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	92	63	$252.00	$89.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	69	$358.00	$130.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$463.00	$165.10
11721 Removal of fingernails or toenails, 6 or more nails	32	17	$127.00	$45.94
73610 X-ray of ankle, minimum of 3 views	29	20	$93.48	$33.41
11055 Removal of single thickened skin growth	28	19	$195.00	$63.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$310.00	$114.53
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	27	11	$8.00	$6.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$155.00	$56.90
11056 Removal of noncancer thickened skin growth, 2-4 growths	25	14	$224.00	$87.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	13	$499.00	$174.49
20605 Aspiration and/or injection of medium joint or joint capsule	16	11	$151.00	$54.95
J1030 Injection, methylprednisolone acetate, 40 mg	15	13	$20.00	$7.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	123	78	$92.89	$35.06
J1100 Injection, dexamethasone sodium phosphate, 1 mg	111	22	$8.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	80	60	$252.00	$92.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$463.00	$168.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	53	$358.00	$127.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$310.00	$114.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	26	$155.00	$54.80
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	28	13	$8.00	$6.65
11056 Removal of noncancer thickened skin growth, 2-4 growths	27	15	$224.00	$88.70
11055 Removal of single thickened skin growth	27	17	$195.00	$64.42
73610 X-ray of ankle, minimum of 3 views	25	20	$98.88	$37.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	156	86	$91.08	$33.65
99213 Established patient office or other outpatient visit, typically 15 minutes	121	76	$249.34	$93.52
J1100 Injection, dexamethasone sodium phosphate, 1 mg	110	20	$8.00	$0.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	64	$354.84	$131.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$463.00	$166.07
73610 X-ray of ankle, minimum of 3 views	46	24	$99.46	$37.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$309.22	$115.87
11055 Removal of single thickened skin growth	23	16	$187.17	$73.17
11721 Removal of fingernails or toenails, 6 or more nails	21	11	$127.00	$46.71
J1030 Injection, methylprednisolone acetate, 40 mg	16	12	$20.00	$5.63

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	131	84	$303.00	$108.16
73630 X-ray of foot, minimum of 3 views	102	61	$82.00	$33.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$463.00	$166.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg	72	14	$8.00	$0.12
11750 Permanent removal fingernail or toenail	21	14	$434.00	$137.26
11055 Removal of single thickened skin growth	21	15	$135.00	$65.32
73610 X-ray of ankle, minimum of 3 views	20	15	$89.00	$33.09
11721 Removal of fingernails or toenails, 6 or more nails	19	11	$127.00	$47.61
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$206.00	$73.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$305.00	$111.42

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	191	101	$303.00	$108.35
73630 X-ray of foot, minimum of 3 views	117	69	$82.00	$30.81
J1100 Injection, dexamethasone sodium phosphate, 1 mg	109	23	$8.00	$0.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$463.00	$162.52
11055 Removal of single thickened skin growth	30	19	$135.00	$55.86
11056 Removal of noncancer thickened skin growth, 2-4 growths	24	14	$165.00	$65.16
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$206.00	$75.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	12	$408.00	$118.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$305.00	$105.85
J1030 Injection, methylprednisolone acetate, 40 mg	14	13	$10.00	$5.91
11750 Permanent removal fingernail or toenail	14	11	$434.00	$150.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	154	23	$8.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	91	$303.00	$105.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$463.00	$158.40
73630 X-ray of foot, minimum of 3 views	97	58	$82.00	$29.35
11055 Removal of single thickened skin growth	42	31	$135.00	$49.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$305.00	$105.43
73620 X-ray of foot, 2 views	29	18	$73.00	$25.46
99213 Established patient office or other outpatient visit, typically 15 minutes	24	17	$206.00	$72.67
J1030 Injection, methylprednisolone acetate, 40 mg	20	15	$10.00	$6.10
11056 Removal of noncancer thickened skin growth, 2-4 growths	19	16	$165.00	$59.59
73610 X-ray of ankle, minimum of 3 views	19	16	$89.00	$31.79
11750 Permanent removal fingernail or toenail	19	12	$434.00	$130.50
11721 Removal of fingernails or toenails, 6 or more nails	12	11	$127.00	$45.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	114	44	$114.00	$44.54
73630 X-ray of foot, minimum of 3 views	94	47	$74.00	$28.79
11056 Removal of noncancer thickened skin growth, 2-4 growths	69	35	$148.00	$57.48
99213 Established patient office or other outpatient visit, typically 15 minutes	64	48	$185.00	$72.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$275.00	$104.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	39	$111.00	$42.71
11055 Removal of single thickened skin growth	40	26	$121.00	$47.31
11750 Permanent removal fingernail or toenail	33	16	$434.76	$120.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	24	$272.00	$105.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$418.00	$161.00
11720 Removal of fingernails or toenails, 1-5 nails	15	12	$82.00	$31.98

Medical Specialties & State Licenses

Podiatrist - Foot & Ankle Surgery Primary Specialty

NUCC Taxonomy Code: 213ES0103X

State License OR DP00307

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

235116 (OR)

Hospital & Practice Group Affiliations

Advantage Orthopedic And Sports Medicine Clinic Llp

24076 Se Stark St, Gresham, OR 970303374

Phone: 5036615388

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Marc Davidson , MD

Orthopaedic Surgery

NPI 1225017783

Doctor of Medicine (M.D.)

Jess Meyer , PA-C

Physician Assistant - Surgical

NPI 1245256981

Physician Assistant (Certified)

Dr. Timothy Mineo , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1275730459

Doctor of Podiatric Medicine

Grace Tudor , PA-C

Physician Assistant

NPI 1285476630

Physician Assistant (Certified)

Dr. Bret Dales , MD

Orthopaedic Surgery

NPI 1386624872

Doctor of Medicine (M.D.)

Dr. Jeffreys Albright , MD

Orthopaedic Surgery

NPI 1477533966

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 26, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 26, 2018

Registered at 24076 SE STARK ST STE 110, GRESHAM, OR 970303374 (Tel: 5036615388)

📍

Updated Business Mailing Address January 26, 2018

Registered at 24076 SE STARK ST STE 110, GRESHAM, OR 970303374 (Tel: 5036615388)

👤

Provider Name / Credentials Updated January 26, 2018

Recorded as DEREK MCCAMMON, D.P.M.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2018

Podiatrist (License #DP00307 in OR)

✅

NPI Profile Active October 23, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 23, 2007

Registered at 831 NW COUNCIL DR, SUITE 203, GRESHAM, OR 970303721 (Tel: 5036676600)

📍

Updated Business Mailing Address October 23, 2007

Registered at 831 NW COUNCIL DR, SUITE 203, GRESHAM, OR 970303721 (Tel: 5036676600)

👤

Provider Name / Credentials Updated October 23, 2007

Recorded as DEREK MCCAMMON, D.P.M.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2007

Podiatrist (License #DP00307 in OR)

🟢

Initial NPI Registration & Enumeration November 07, 2005

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: 1760463889

Entity Type:

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

Enumeration Date: November 07, 2005

Last Update: January 26, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

24076 Se Stark St Ste 110

Gresham, OR 970303374

Phone: 5036615388

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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