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Active NPI 1295049070 Individual Practitioner Male Practitioner

Dr. Dustin Clifton Derrick , MD

Plastic Surgery • Fort Worth, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Dustin Derrick, MD is a certified Plastic Surgery practicing in Fort Worth, TX. With approximately 16 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 2010, Dr. Derrick delivers high-quality medical care to the local community at 800 12TH AVE STE 100.

Dr. Derrick is affiliated with Texas Plastic Surgery Associates, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 12th Ave Ste 100

Fort Worth, TX 761042519

Telephone 8178100770
Fax 8178200242
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Fort Worth, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -8.7 yrs vs City Avg
City Avg: 24.7 Yrs
State Avg: 29.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Fort Worth, TX (399 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Derrick (16 Years) 16 Yrs
Fort Worth Specialty Average (24.7 Years) 24.7 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
37 19 $83.00 $54.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
21 21 $236.00 $108.76

Medical Specialties & State Licenses

CMS Verified: 2021-10-13
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License TX Q4085

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Surgery

NUCC Taxonomy Code: 208600000X

State License TX Q4085

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License OH 57. 025880

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Texas Plastic Surgery Associates, Pa

800 12th Ave, Fort Worth, TX 761042519

Phone: 8178100770

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Robert Anderson , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1326064270

Doctor of Medicine (M.D.)

Dr. Mark Daniels , MD

Plastic Surgery

NPI 1346567757

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 13, 2021

Registered at 800 12TH AVE STE 100, FORT WORTH, TX 761042519 (Tel: 8178100770)

📍
Updated Business Mailing Address October 13, 2021

Registered at 800 12TH AVE STE 100, FORT WORTH, TX 761042519 (Tel: 8178100770)

📍
Updated Practice Location November 16, 2018

Registered at 800 8TH AVE STE 206, FORT WORTH, TX 761042619 (Tel: 8175294314)

📍
Updated Business Mailing Address November 16, 2018

Registered at 800 8TH AVE STE 206, FORT WORTH, TX 761042619 (Tel: 8175294314)

NPI Profile Active October 22, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2015

Registered at 525 E MARKET ST, SUMMA HEALTH SYSTEM DEPT OF PLASTIC SURGERY, AKRON, OH 443041619 (Tel: 3303753783)

📍
Updated Business Mailing Address October 22, 2015

Registered at 525 E MARKET ST, SUMMA HEALTH SYSTEM DEPT OF PLASTIC SURGERY, AKRON, OH 443041619 (Tel: 3303753783)

👤
Provider Name / Credentials Updated October 22, 2015

Recorded as DUSTIN DERRICK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2015

Surgery (License #Q4085 in TX)

🟢
Initial NPI Registration & Enumeration August 03, 2010

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: 1295049070
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2010
Last Update: October 13, 2021
Sole Proprietor: Yes

Mailing Address

800 12th Ave Ste 100

Fort Worth, TX 761042519

Phone: 8178100770

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.