Dr. Brian Derby , MD
Plastic Surgery • Atlanta, GA
1800 Howell Mill Rd Nw Ste 140
Atlanta, GA 303180916
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 16, 2007; this date does not establish years in practice.
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Published CMS data list 43 Original Medicare Part B services in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Published rows only; this is not a quality measure.
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Published Part B service records, 2020:
- 99212 — Established patient outpatient office visit: 20 service units.
- 19371 — Removal of capsule around breast implant: 12 service units.
- 99204 — New patient outpatient office visit: 11 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2019 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2020). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 123 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Ondansetron Odt (Ondansetron) — 49 prescription fills, including refills.
- Aprepitant — 23 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 20 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 5 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 65% of clinicians listed under Plastic Surgery in Atlanta, GA (2024, 26 clinicians with data). Median for this group: 92. Middle half: 43 to 130.
Close to the middle for Part D prescriptions among clinicians listed under Plastic Surgery in Georgia (2024, 84 clinicians with data). Median for this group: 108. Middle half: 48 to 166.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 60 in 2017 to 43 in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2020.
Practice Location & Contact Primary Location
1800 Howell Mill Rd Nw Ste 140
Atlanta, GA 303180916
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Plastic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $11,187 in 2020
The total amount Medicare approved for these services in 2020. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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, 2020.
Paid by Medicare
About $8,581 in 2020
The part of the Medicare-allowed amount that Medicare itself paid in 2020, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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, 2020.
30-day fills
123 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,520 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $765.28 across 26 records.
By nature of payment
- Food and Beverage: $765.28 across 26 records.
Reporting-company totals
- ABBVIE INC.: $454.44 across 24 records.
- MOTIVA USA, LLC: $161.66 across 1 record.
- MERZ NORTH AMERICA, INC.: $149.18 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2007
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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?”
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.
Enrolled in Medicare (PECOS)
Dr. Derby 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.
Can order Medicare-covered services
CMS lists Dr. Derby as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Atlanta and Georgia
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Plastic Surgery in Atlanta, GA (2024, 26 clinicians with data). Median for this group: 92. Middle half: 43 to 130.
Close to the middle for clinicians listed under Plastic Surgery in Georgia (2024, 84 clinicians with data). Median for this group: 108. Middle half: 48 to 166.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Plastic Surgery in Atlanta, GA (2024, 26 clinicians with data). Median for this group: $409. Middle half: $198 to $691.
A higher Part D drug cost than 75% of clinicians listed under Plastic Surgery in Georgia (2024, 84 clinicians with data). Median for this group: $638. Middle half: $293 to $1,508.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Derby are from 2020.
67 active clinicians are listed under Plastic Surgery with a practice address in Atlanta, GA (183 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Atlanta
4.5% of these 67 clinicians have the CMS telehealth indicator.
40.3% of these 67 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 28% from 60 in 2017 to 43 in 2020.
- 2017: 60
- 2018: 114
- 2019: 139
- 2020: 43
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Medicare-allowed amount
Medicare-allowed amount increased 103% from $5,501 in 2017 to $11,187 in 2020.
- 2017: $5,501
- 2018: $8,606
- 2019: $10,312
- 2020: $11,187
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Paid by Medicare
Paid by Medicare increased 111% from $4,074 in 2017 to $8,581 in 2020.
- 2017: $4,074
- 2018: $6,605
- 2019: $7,807
- 2020: $8,581
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 19% from 103 in 2020 to 123 in 2024.
- 2020: 103
- 2021: 77
- 2022: 77
- 2023: 105
- 2024: 123
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30-day fills
30-day fills increased 19% from 103 in 2020 to 123 in 2024.
- 2020: 103
- 2021: 77
- 2022: 77
- 2023: 105
- 2024: 123
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Part D drug cost
Part D drug cost went from $687 in 2020 to $1,520 in 2024.
- 2020: $687
- 2021: $1,894
- 2022: $1,368
- 2023: $1,751
- 2024: $1,520
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $516.63 in 2021 to $765.28 in 2025.
- 2021: $516.63
- 2022: $382.06
- 2023: $431.41
- 2024: $1,460.05
- 2025: $765.28
Sources: CMS Medicare Physician & Other Practitioners (2020), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 26 records totaling $765.28.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| MOTIVA USA, LLC |
Food and Beverage
Cash or cash equivalent
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Motiva Implant Matrix | General | $161.66 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $150.00 |
| MERZ NORTH AMERICA, INC. |
Food and Beverage
In-kind items and services
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Xeomin | General | $149.18 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $25.35 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $24.80 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $22.20 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $21.42 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $19.67 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $16.92 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $16.25 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $16.15 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $15.50 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $15.19 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $13.30 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $13.15 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $11.97 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $11.25 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $10.37 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $9.32 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
— | General | $9.10 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
BOTOX | General | $8.65 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $8.26 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $7.53 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $3.19 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $3.13 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2019 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, 2017–2020; 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 |
|---|---|---|---|---|
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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20 | 16 | $50.08 | $45.12 |
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19371
Removal of capsule around breast implant
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12 | 12 | $1292.12 | $705.14 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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11 | 11 | $166.38 | $165.76 |
Source: CMS Part B by Provider and Service, 2020; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ondansetron Odt | Ondansetron | 49 | 127 | $161.37 | 43 |
| Aprepitant | Aprepitant | 23 | 116 | $1,069.51 | 21 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 20 | 72 | $115.99 | 20 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 19 | 103 | $150.42 | 15 |
| Tramadol Hcl | Tramadol Hcl | 12 | 38 | $22.81 | 12 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208200000X
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSORDER AND REFERRING ONLY - PHYSICAL MEDICINE AND REHABILITATION
I20221115003366
FL
6901128057
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History
NPI enumerated July 16, 2007.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Plastic Surgery Specialists in Atlanta
- Dr. Varun Gupta, MD
- Dr. Faramarz Movagharnia, DO, FACOS
- Dr. Alan Larsen, MD
- Dr. Daniel Cuzzone, MD
- Dr. Heather Faulkner, MD, MPH
- Dr. Richard Lorenz, MD
Mailing Address
1750 Commerce Dr Nw Apt 3120
Atlanta, GA 303183178
Phone: 9542707530