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Active NPI 1578232310 Individual Practitioner Male Practitioner

Derek Dane , PA-C

Physician Assistant • Bryan, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Derek Dane, PA-C is a certified Physician Assistant practicing in Bryan, TX. With approximately 5 years of clinical experience since completing medical education in 2021, Derek Dane delivers high-quality medical care to the local community at 2700 E 29TH ST STE 260.

Derek Dane is affiliated with St Joseph Regional Health Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, critical care, first, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2700 E 29th St Ste 260

Bryan, TX 778022587

Telephone 9797740012
Fax 9797744636
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bryan, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -3.2 yrs vs City Avg
City Avg: 8.2 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
36 Specialists

Practicing in Bryan, TX (11140 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dane (5 Years) 5 Yrs
Bryan Specialty Average (8.2 Years) 8.2 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
42 42 $500.00 $139.72

Medical Specialties & State Licenses

CMS Verified: 2025-09-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA15097

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1578232310 (TX)
Commercial Insurance / Payer ID Railroad Medicare
Q00486203 (TX)

Hospital & Practice Group Affiliations

St Joseph Regional Health Center

2801 Franciscan Dr, Bryan, TX 778022544

St Joseph Regional Health Center

2801 Franciscan Dr, Bryan, TX 778022544

Phone: 9797762401

St Joseph Regional Health Center

1604 Rock Prairie Rd, College Station, TX 778458343

Phone: 9797645100

Secondary Practice Locations

1604 Rock Prairie Rd

College Station, TX 778458343

Phone: 9797740012

2801 Franciscan Dr

Bryan, TX 778022544

Phone: 9797740012

504 Medical Center Blvd

Conroe, TX 773042808

Phone: 9364434417

500 Medical Center Blvd Ste 218

Conroe, TX 773042833

Phone: 9367562229

129 Medical Park Ln Ste A

Huntsville, TX 773404982

Phone: 9362913459

1602 Rock Prairie Rd Ste 3000

College Station, TX 778455989

Phone: 9797740012

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Thomas Weber , MD

Internal Medicine - Pulmonary Disease

NPI 1093753279

Doctor of Medicine (M.D.)

Dr. Scott Spencer , MD

Internal Medicine - Pulmonary Disease

NPI 1104864388

Doctor of Medicine (M.D.)

Jeremy Hendrickson , APRN

Nurse Practitioner - Acute Care

NPI 1396379525

Advanced Practice Registered Nurse

Dr. Bino Joseph , MD

Internal Medicine - Pulmonary Disease

NPI 1447637079

Doctor of Medicine (M.D.)

Dr. Adnanul Karim , MD

Internal Medicine - Pulmonary Disease

NPI 1588955546

Doctor of Medicine (M.D.)

Amy Ponzio , APRN

Nurse Practitioner - Acute Care

NPI 1790251015

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 22, 2023

Registered at 2700 E 29TH ST STE 260, BRYAN, TX 778022587 (Tel: 9797740012)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2023

Physician Assistant (License #PA15097 in TX)

NPI Profile Active September 07, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2021

Registered at 129 MEDICAL PARK LN STE A, HUNTSVILLE, TX 773404982 (Tel: 9362913459)

📍
Updated Business Mailing Address September 07, 2021

Registered at 1426 COUNTY ROAD 436, DIME BOX, TX 778535248 (Tel: 9797167915)

👤
Provider Name / Credentials Updated September 07, 2021

Recorded as DEREK DANE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 07, 2021

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: 1578232310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2021
Last Update: September 09, 2025
Sole Proprietor: Yes

Mailing Address

1426 County Road 436

Dime Box, TX 778535248

Phone: 9797167915

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.