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Derek R Flake , PT

Physical Therapist • Lakeside, AZ

Active NPI 1104154269 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4830 Highway 260 Ste 105
Lakeside, AZ 859295851

Call 9285321221 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4830 Highway 260 Ste 105

Lakeside, AZ 859295851

Telephone 9285321221
Fax 9285321227
Organization at the Same NPPES Address or Phone
White Mountain Physical Therapy Ltd Facility NPI 1750385654

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: White Mountain Physical Therapy Ltd. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2009

Medicare patients

252 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $117,233 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $89,766 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Years since graduation

17 years (graduated 2009)

CMS Doctors and Clinicians data list 2009 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Derek Flake has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Lakeside and Arizona

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Physical Therapist in Arizona (2024, 1,835 clinicians with data). Median for this group: 1,913. Middle half: 871 to 3,310.

Too few clinicians listed under Physical Therapist in Lakeside have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under Physical Therapist in Arizona (2024, 1,835 clinicians with data). Median for this group: $50,385. Middle half: $23,038 to $85,757.

Too few clinicians listed under Physical Therapist in Lakeside have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Physical Therapist in Arizona (2024, 1,835 clinicians with data). Median for this group: $38,502. Middle half: $17,591 to $65,843.

Too few clinicians listed under Physical Therapist in Lakeside have Medicare Part B data for 2024 to compare.

8 active clinicians are listed under Physical Therapist with a practice address in Lakeside, AZ (5,356 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
1,810 214 $57.89 $21.10
97530 Therapy procedure using functional activities
955 200 $60.00 $31.45
97140 Therapy procedure using manual technique, each 15 minutes
909 172 $45.00 $19.61
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
413 99 $52.00 $24.74
97162 Evaluation for physical therapy, typically 30 minutes
202 178 $102.00 $95.96
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
60 18 $30.00 $8.40
97116 Therapy procedure for walking training, each 15 minutes
50 46 $50.00 $21.52

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-03-16
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES AZ 8520PT

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Arizona Pt License
8520PT (AZ)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20101028000656

Enrollment State Jurisdiction

AZ

PECOS Control ID

7911191481

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

White Mountain Physical Therapy Ltd

4830 Hwy 260 105, Lakeside, AZ 859295851

Phone: 9285321221

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Rachel Ellsworth , PT

Physical Therapist

NPI 1316490949

Physical Therapist

NPI 1215425202

Physical Therapist

Dr. Kyle Howell , DPT

Physical Therapist

NPI 1497494918

Doctor of Physical Therapy

Dr. Michele Russell , DPT

Physical Therapist

NPI 1699343558

Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location March 16, 2020

Registered at 4830 HIGHWAY 260 STE 105, LAKESIDE, AZ 859295851 (Tel: 9285321221)

📍
Updated Business Mailing Address March 16, 2020

Registered at PO BOX 1420, SHOW LOW, AZ 859021420 (Tel: 9285321221)

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NPI Profile Active May 16, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) May 16, 2014

Registered at 2940 E BANNER GATEWAY DR, STE 200, GILBERT, AZ 852342171 (Tel: 4809642908)

📍
Business Mailing Address (Initial Record) May 16, 2014

Registered at PO BOX 29870, PHOENIX, AZ 850389870 (Tel: 6027723800)

👤
Provider Name / Credentials (Initial Record) May 16, 2014

Recorded as DEREK FLAKE, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2014

Physical Therapist (license number reported to NPPES: AZ 8520PT)

🟢
Initial NPI Registration & Enumeration December 01, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104154269
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2009
Last Update: March 16, 2020
Sole Proprietor: No

Other Physical Therapists in Lakeside

Mailing Address

Po Box 1420

Show Low, AZ 859021420

Phone: 9285321221

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.