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Active NPI 1659480630 Individual Practitioner Female Practitioner

Dr. Ellen Lyman Thomason Derrick , MD

Surgery - Vascular Surgery • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Dr. Ellen Derrick, MD is a certified Surgery - Vascular Surgery practicing in Seattle, WA. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Derrick delivers high-quality medical care to the local community at 3216 NE 45TH PL STE 207.

Dr. Derrick does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of insufficient vein of arm or leg, accessed through the skin, 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

3216 Ne 45th Pl Ste 207

Seattle, WA 981054028

Telephone 2065963976
Fax 2064869013
Associated Practice Facility / Clinic
🏢 Derrick Consulting Pllc Facility NPI 1902335805

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Seattle, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs -0.7 yrs vs City Avg
City Avg: 25.7 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
37 Specialists

Practicing in Seattle, WA (135 Statewide)

Telehealth Adoption Rate
48.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Derrick (25 Years) 25 Yrs
Seattle Specialty Average (25.7 Years) 25.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes
39 24 $200.00 $98.42
36475 Destruction of insufficient vein of arm or leg, accessed through the skin
30 11 $4200.00 $1218.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
23 23 $250.00 $122.68
93970 Ultrasound study of arm or leg veins with compression and maneuvers
16 14 $500.00 $218.71

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License WA MD00045873

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1659480630 (WA)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active July 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2017

Registered at 3216 NE 45TH PL STE 207, SEATTLE, WA 981054028 (Tel: 2065963976)

📍
Updated Business Mailing Address July 10, 2017

Registered at 6541 50TH AVE NE, SEATTLE, WA 98115 (Tel: (206) 818-6905)

👤
Provider Name / Credentials Updated July 10, 2017

Recorded as ELLEN DERRICK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2017

Surgery (License #MD00045873 in WA)

NPI Profile Active March 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2016

Registered at 1330 ROCKEFELLER AVE, STE 520, EVERETT, WA 982011684 (Tel: 4252975200)

📍
Updated Business Mailing Address March 16, 2016

Registered at PO BOX 3360, PORTLAND, OR 972083360 (Tel: 8667472455)

👤
Provider Name / Credentials Updated March 16, 2016

Recorded as ELLEN DERRICK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2016

Surgery (License #MD00045873 in WA)

🟢
Initial NPI Registration & Enumeration August 30, 2006

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: 1659480630
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

6541 50th Ave Ne

Seattle, WA 98115

Phone: 2068186905

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.