DR. DEREK RYAN FLETCHER (M.D.) – Plastic Surgery Physician, NPI 1427204098
Plastic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
193 HAND SURGERY in PA
Provider Addresses for DR. DEREK RYAN FLETCHER (M.D.)
PO BOX 421
LIBERTY LAKE, WA 990190421
Phone: (509) 838-7100
Fax: (509) 227-7070
Type: Mailing
1442 LACLAIR ST APT 1
SWISSVALE, PA 152181210
Phone: (253) 797-3213
Type: Mailing
820 S McClellan St Ste 118
Spokane, WA 992042446
Phone: (509) 838-7100
Fax: (509) 227-7070
Type: Location
1442 LaClair St Apt 1
Pittsburgh, PA 152181210
Phone: (253) 797-3213
Type: Location
530 S COWLEY ST
SPOKANE, WA 992021316
Phone: (509) 321-6033
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $440.
Total Amount is formed as General ($440) + Research ($0) + Ownership ($0) = $440.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ABBVIE INC. ($253).
Total Amount
$440
General + Research + Ownership
Payments
10
Total payment records
General Amount
$440
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $253 |
| PolyNovo North America LLC | $187 |
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: 2018-07-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180731002461 | I | Plastic And Reconstructive Surgery | WA | 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 |
|---|---|---|---|---|
| 11921 | Tattooing of skin to correct color issue, 6.1-20.0 sq cm | 13 | 12 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 13 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 11 | 11 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 99019)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Plastic And Reconstructive Surgery | UT | |
| - | WA | |
| Plastic And Reconstructive Surgery | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Plastic And Reconstructive Surgery | WA | |
| Physician Assistant | WA | |
| Plastic And Reconstructive Surgery | WA |
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