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 |
Hospital affiliations
Frequently asked questions
What is Dr. Samantha Derzon's medical specialty?
Dr. Samantha Derzon practices Family Medicine Physician in Provo, UT.
Where does Dr. Samantha Derzon practice?
Dr. Samantha Derzon practices at 475 W 940 N, Provo, UT 846043301. Office phone: 8013577940.
What is Dr. Samantha Derzon's NPI?
Dr. Samantha Derzon's National Provider Identifier (NPI) is 1053060939, issued by NPPES.
Does Dr. Samantha Derzon accept Medicare assignment?
Yes. Dr. Samantha Derzon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.