Doctor profile · Federal record

Dr. Dustin Derrick, M.D.

Plastic Surgery Physician (CMS: Plastic and Reconstructive Surgery) · Surgery Physician · Student in an Organized Health Care Education/Training Program · Fort Worth, TX

  • NPI 1295049070
  • Accepts Medicare
  • 16 yrs in practice
  • Licensed in 2 states
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
800 12Th Ave Ste 100
Fort Worth, TX 761042519
(817) 810-0770
fax (817) 820-0242

Credentials & registration

NPPES · NUCC
NPI registered
August 2010 — 16 yrs on file
Profile last updated
October 13, 2021
Year of graduation
2010 — 16 yrs since
Specialty taxonomy
208200000X — NUCC code
State licenses (2)
Texas #Q4085 · Ohio #57. 025880

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1295049070. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
70
Distinct HCPCS
2
Medicare allowed
$5,073
HCPCS Description Services Patients Avg allowed
99212 Established patient office or other outpatient visit, 10-19 minutes 47 32 $55
99203 New patient office or other outpatient visit, 30-44 minutes 23 23 $108

In context: peer comparison

Among 3 peers in this city , average services per provider: 36. This provider delivers 1.9× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$749
Transactions
20
Manufacturers
7
Payer (manufacturer) Industry Txns Amount
ABBVIE INC. 10 $276.79
LifeNet Health 3 $174.00
Kerecis Limited 3 $172.90
Integra LifeSciences Corporation 1 $43.68
Smith+Nephew, Inc. 1 $35.11
PolyNovo North America LLC 1 $24.17
Baxter Healthcare 1 $21.91

By nature of payment

Food and Beverage
$749

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
13
Patients
13
Total drug cost
$90
Drug Type Claims Patients Total cost
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 13 13 $90

Frequently asked questions

Auto-generated from federal data
What is Dr. Dustin Derrick's medical specialty?
Dr. Dustin Derrick practices Plastic Surgery Physician in Fort Worth, TX.
Where does Dr. Dustin Derrick practice?
Dr. Dustin Derrick practices at 800 12Th Ave Ste 100, Fort Worth, TX 761042519. Office phone: 8178100770.
What is Dr. Dustin Derrick's NPI?
Dr. Dustin Derrick's National Provider Identifier (NPI) is 1295049070, issued by NPPES.
Does Dr. Dustin Derrick accept Medicare assignment?
Yes. Dr. Dustin Derrick accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dustin Derrick commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99212); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.