DR. DEREK A WOESSNER (MD) – Sports Medicine (Family Medicine) Physician, NPI 1750476016
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
112 SPORTS MEDICINE in AL
Provider Addresses for DR. DEREK A WOESSNER (MD)
PO BOX 370
FORTSON, GA 318080370
Phone: (706) 494-3072
Fax: (706) 494-3008
Type: Mailing
161 E University Dr
Auburn, AL 368325889
Phone: (334) 826-2090
Fax: (334) 821-3191
Type: Location
512 N Shady Ln
Dothan, AL 363032991
Phone: (334) 699-5747
Fax: (334) 699-5750
Type: Location
6262 Veterans Pkwy
Columbus, GA 319093540
Phone: (706) 324-6661
Fax: (706) 494-3306
Type: Location
128 Mitylene Park Ln
Montgomery, AL 361173758
Phone: (334) 245-6605
Fax: (334) 821-3191
Type: Location
7449 Eastchase Pkwy
Montgomery, AL 361176846
Phone: (334) 747-4030
Type: Location
2257, Taylor Road, Halcyon, Montgomery, Montgomery County, Alabama, 36117, United States
MONTGOMERY, AL 361177790
Phone: (334) 245-6605
Fax: (334) 821-3191
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: TRICE MEDICAL, INC. ($41).
Total Amount
$111
General + Research + Ownership
Payments
5
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TRICE MEDICAL, INC. | $41 |
| DePuy Synthes Sales Inc. | $28 |
| VERTEX PHARMACEUTICALS INCORPORATED | $23 |
| Bioventus LLC | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-10-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070618000075 | I | Sports Medicine | GA | TBD |
| I20071017000664 | I | Sports Medicine | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 1,200 | 14 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 388 | 113 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 211 | 134 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 195 | 125 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 147 | 147 | $0 |
Insurance plans in this area (ZIP 31808)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Otolaryngology, Allergy/Immunology, Emergency Medicine, Maxillofacial Surgery, Plastic And Reconstructive Surgery | GA | |
| Nurse Practitioner | GA | |
| Qualified Audiologist | GA | |
| General Surgery | AL | |
| Diagnostic Radiology | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| Family Practice | GA | |
| Otolaryngology, Critical Care (Intensivists), Plastic And Reconstructive Surgery | GA | |
| Undefined Physician Type (Specify) | GA | |
| Internal Medicine | AL |
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