Doctor profile · Federal record
Dr. SAMANTHA DERZON, MD
Family Medicine Physician (CMS: FAMILY PRACTICE) · Student in an Organized Health Care Education/Training Program · PROVO, UT
- NPI 1053060939
- Accepts Medicare
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
475 W 940 N
PROVO, UT 846043301
(801) 357-7940 - Additional location
-
395 W Cougar Blvd Ste 205
Provo, UT 846043328
(801) 357-1770
Credentials & registration
- NPI registered
- March 2022 — 4 yrs on file
- Profile last updated
- May 28, 2025
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Utah #135169241205
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053060939. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$3
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Organon Llc | 1 | $3.02 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
63
Patients
0
Total drug cost
$821
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Famotidine | Generic | 15 | 0 | $106 |
| Atorvastatin Calcium | Generic | 13 | 0 | $172 |
| Potassium Chloride | Generic | 13 | 0 | $273 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 11 | 0 | $156 |
| Alendronate Sodium | Generic | 11 | 0 | $114 |