Doctor profile · Federal record
Dr. Michael Dersam, MD
Orthopaedic Surgery Physician (CMS: Orthopedic Surgery) · Specialist · Phoenix, AZ
- NPI 1477539302
- Accepts Medicare
- 30 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
500 W. Thomas Road, Suite 850
Phoenix, AZ 85013
(602) 406-2669
fax (602) 406-8889
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- June 7, 2021
- Year of graduation
- 1996 — 30 yrs since
- Specialty taxonomy
- 207X00000X — NUCC code
- State license (1)
- Arizona #30263
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477539302. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
514
Distinct HCPCS
9
Medicare allowed
$54,308
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 252 | 21 | $1 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 82 | 60 | $87 | |
20610 |
Aspiration and/or injection of fluid from large joint | 62 | 33 | $62 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 32 | 32 | $161 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $104 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 23 | 21 | $118 | |
23472 |
Prosthetic repair of shoulder joint, total shoulder | 13 | 13 | $1,399 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 12 | 12 | $77 | |
27447 |
Replacement of knee joint, both sides of knee | 11 | 11 | $1,207 |
In context: peer comparison
Among 32 peers in this city , average services per provider: 230. This provider delivers 2.2× the peer median.Open Payments
Industry payments received
All-time total
$294
Transactions
8
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Smith+Nephew, Inc. | 2 | $175.69 | |
| Stryker Corporation | 4 | $80.14 | |
| Vericel Corporation | 2 | $37.96 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
137
Patients
56
Total drug cost
$1,168
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 46 | 32 | $452 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 40 | 0 | $501 |
| Cephalexin | Generic | 34 | 24 | $196 |
| Ondansetron Hcl | Generic | 17 | 0 | $19 |
Hospital affiliations
Frequently asked questions
What is Dr. Michael Dersam's medical specialty?
Dr. Michael Dersam practices Orthopaedic Surgery Physician in Phoenix, AZ.
Where does Dr. Michael Dersam practice?
Dr. Michael Dersam practices at 500 W. Thomas Road, Suite 850, Phoenix, AZ 85013. Office phone: 6024062669.
What is Dr. Michael Dersam's NPI?
Dr. Michael Dersam's National Provider Identifier (NPI) is 1477539302, issued by NPPES.
Does Dr. Michael Dersam accept Medicare assignment?
Yes. Dr. Michael Dersam accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Dersam commonly perform?
Top Medicare-reported procedures in 2023: Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Established patient office or other outpatient visit (HCPCS 99213); Aspiration and/or injection of fluid from large joint (HCPCS 20610). Source: CMS Medicare Physician & Other Practitioners file.