DERREK WOODBURY – Orthopaedic Surgery Physician, NPI 1235493099

DERREK WOODBURY is a healthcare provider. based in Redmond, Oregon. specializing in ORTHOPEDIC SURGERY. They hold a License No. 5101020102 (MI). The NPI Number for DERREK WOODBURY is 1235493099

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DERREK WOODBURY
NPI
1235493099
Phone
(541) 388-2333
Address
1315 NW 4th St
Enumeration Date
26 June 2012
Last Update Date
29 July 2019

Doctor Profile

Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Secondary Phone
2082391720
Graduation Year
2012 (14 years ago)
PAC ID
1850534207
Group Practice PAC ID
6608927637
Professional Enrollment ID
I20231009001379
Address ID
ID832015175PO777XXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:13State licenses:2Digital endpointsOther names

383 ORTHOPEDIC SURGERY in OR

Provider Addresses for DERREK WOODBURY

  • 1315 NW 4th St

    Redmond, OR 977561328

    Phone: (541) 388-2333

    Fax: (541) 388-0930

    Type: Location

  • 1303 NE CUSHING DR STE 100

    BEND, OR 977013887

    Phone: (541) 388-2333

    Fax: (541) 388-0930

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $1,103.

Total Amount is formed as General ($1,103) + Research ($0) + Ownership ($0) = $1,103.

Last reported payment date: 2023-11-17 • Largest payer in this snapshot: Stryker Corporation ($1,103).

Total Amount

$1,103

General + Research + Ownership

Payments

7

Total payment records

General Amount

$1,103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$1,103
View all Open Payments →|Open Payments Risk Radar →

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: 2023-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231009001379IOrthopedic SurgeryIDTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8963$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg7717$0
20610Aspiration and/or injection of fluid from large joint2517$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
73502X-ray of hip, 2-3 views1611$0
View full utilization report →

Insurance plans in this area (ZIP 97756)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608927637View full group profile
NameSpecialtyState
Physician AssistantMI
N E U R O S U R G E R YWA
Internal MedicineID
Qualified AudiologistID
Thoracic Surgery, Cardiac SurgeryID
Family PracticeID
Physician AssistantID
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyMI
Physician AssistantID
-ID

Reviews

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Frequently asked questions

What unique ID ties claims to DERREK WOODBURY?
NPI 1235493099 is assigned to DERREK WOODBURY under the national enumeration system.
Is DERREK WOODBURY currently active in the NPI registry?
CMS-published data lists DERREK WOODBURY as an active registrant.
What kind of provider is DERREK WOODBURY?
The page reflects Orthopaedic Surgery Physician for DERREK WOODBURY. Clinical services aligned with this taxonomy classification.
Where is DERREK WOODBURY's primary listing?
We display Redmond, Oregon because that is what the record indicates for DERREK WOODBURY.
How can I contact DERREK WOODBURY?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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