Derek Allen Lawhorn
Nurse Practitioner โข Waverly, OH
835 W Emmitt Ave
Waverly, OH 456901190
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 January 31, 2020; this date does not establish years in practice.
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Published CMS data list 347 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 113 service units.
- G2211 โ Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 64 service units.
- 99213 โ Established patient outpatient office visit: 55 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 4,858 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Gabapentin โ 225 prescription fills, including refills.
- Lisinopril โ 205 prescription fills, including refills.
- Atorvastatin Calcium โ 168 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 117 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: 200. Middle half: 88 to 433.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 233 in 2021 to 347 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2024.
Practice Location & Contact Primary Location
835 W Emmitt Ave
Waverly, OH 456901190
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Somc Medical Care Foundation, Inc.. 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
2019
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
79 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $17,168 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.
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 โ by Provider and Service, 2024.
Paid by Medicare
About $12,863 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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 โ by Provider and Service, 2024.
30-day fills
9,037 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
$514,688 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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
7 years (graduated 2019)
CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2020
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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)
Derek Lawhorn 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 Derek Lawhorn 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 Waverly and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: 200. Middle half: 88 to 433.
Too few clinicians listed under Nurse Practitioner in Waverly have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: $14,983. Middle half: $6,723 to $30,403.
Too few clinicians listed under Nurse Practitioner in Waverly have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: $11,287. Middle half: $4,812 to $22,230.
Too few clinicians listed under Nurse Practitioner in Waverly have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,946 clinicians with data). Median for this group: 341. Middle half: 95 to 1,344.
Too few clinicians listed under Nurse Practitioner in Waverly have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,946 clinicians with data). Median for this group: $17,171. Middle half: $1,153 to $140,965.
Too few clinicians listed under Nurse Practitioner in Waverly have Medicare Part D data for 2024 to compare.
8 active clinicians are listed under Nurse Practitioner with a practice address in Waverly, OH (4,257 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
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 increased 49% from 233 in 2021 to 347 in 2024.
- 2021: 233
- 2022: 248
- 2023: 302
- 2024: 347
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Medicare-allowed amount
Medicare-allowed amount decreased 11% from $19,262 in 2021 to $17,168 in 2024.
- 2021: $19,262
- 2022: $18,528
- 2023: $16,516
- 2024: $17,168
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Paid by Medicare
Paid by Medicare stayed about the same: $14,074 in 2021 and $12,863 in 2024.
- 2021: $14,074
- 2022: $11,494
- 2023: $12,161
- 2024: $12,863
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 106% from 2,359 in 2021 to 4,858 in 2024.
- 2021: 2,359
- 2022: 4,317
- 2023: 4,588
- 2024: 4,858
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30-day fills
30-day fills increased 126% from 3,993 in 2021 to 9,037 in 2024.
- 2021: 3,993
- 2022: 7,866
- 2023: 8,933
- 2024: 9,037
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Part D drug cost
Part D drug cost increased 378% from $107,614 in 2021 to $514,688 in 2024.
- 2021: $107,614
- 2022: $331,221
- 2023: $542,691
- 2024: $514,688
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2023 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 โ by Provider and Service data, 2021โ2024; 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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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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113 | 64 | $175.89 | $76.08 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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64 | 46 | $220.00 | $13.35 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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55 | 40 | $123.78 | $53.29 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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42 | 42 | $260.00 | $101.58 |
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G0442
Annual alcohol misuse screening, 5 to 15 minutes
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38 | 38 | $45.00 | $7.12 |
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G0444
Annual depression screening, 5 to 15 minutes
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35 | 35 | $45.00 | $7.10 |
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.
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 |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 225 | 8,936 | $3,127.85 | 40 |
| Lisinopril | Lisinopril | 205 | 14,456 | $1,321.67 | 55 |
| Atorvastatin Calcium | Atorvastatin Calcium | 168 | 12,047 | $1,078.14 | 42 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 154 | 3,828 | $3,022.17 | 42 |
| Amlodipine Besylate | Amlodipine Besylate | 137 | 11,888 | $571.87 | 43 |
| Mounjaro | Tirzepatide | 133 | 3,840 | $143,405.94 | 15 |
| Furosemide | Furosemide | 131 | 7,827 | $279.67 | 37 |
| Levothyroxine Sodium | Levothyroxine Sodium | 116 | 8,928 | $870.88 | 27 |
| Metoprolol Succinate | Metoprolol Succinate | 113 | 9,509 | $1,111.11 | 34 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 108 | 2,194 | $2,042.93 | 24 |
| Omeprazole | Omeprazole | 106 | 8,460 | $1,497.80 | 32 |
| Ozempic | Semaglutide | 93 | 2,900 | $90,444.48 | 17 |
| Pantoprazole Sodium | Pantoprazole Sodium | 88 | 5,599 | $526.45 | 23 |
| Losartan Potassium | Losartan Potassium | 85 | 5,850 | $383.67 | 24 |
| Fluticasone Propionate | Fluticasone Propionate | 83 | 3,540 | $597.39 | 28 |
| Sertraline Hcl | Sertraline Hcl | 82 | 4,886 | $1,280.35 | 16 |
| Metformin Hcl | Metformin Hcl | 75 | 5,850 | $378.29 | 22 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 73 | 3,114 | $8,279.23 | 18 |
| Tizanidine Hcl | Tizanidine Hcl | 72 | 2,910 | $772.50 | 13 |
| Trazodone Hcl | Trazodone Hcl | 71 | 3,240 | $255.67 | 16 |
| Potassium Chloride | Potassium Chloride | 67 | 4,187 | $724.26 | 20 |
| Clopidogrel | Clopidogrel Bisulfate | 63 | 4,050 | $421.68 | 15 |
| Metoprolol Tartrate | Metoprolol Tartrate | 61 | 4,680 | $341.07 | 17 |
| Hydrochlorothiazide | Hydrochlorothiazide | 59 | 5,250 | $196.33 | 18 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 55 | 1,610 | $558.89 | 14 |
(top 25 shown)
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
Self-certified to NPPES: 2021-03-10NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20210430002096
OH
2567871684
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
Somc Medical Care Foundation, Inc.
835 W Emmitt Ave, Waverly, OH 456901190
Phone: 7409477662
Somc Medical Care Foundation, Inc.
1248 Kinneys Ln, Portsmouth, OH 456622927
Phone: 7403567290
Somc Medical Care Foundation, Inc.
1805 27th St, Portsmouth, OH 456622640
Phone: 7403568117
Somc Medical Care Foundation, Inc.
1248 Kinneys Ln, Portsmouth, OH 456622927
Phone: 7403567290
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Certified Nurse Practitioner
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Psychiatric/Mental Health
Certified Nurse Practitioner
Nurse Practitioner
Certified Nurse Practitioner
Nurse Practitioner
Certified Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 835 W EMMITT AVE, WAVERLY, OH 456901190 (Tel: 7407407662)
Registered at 1735 27TH ST STE B06, PORTSMOUTH, OH 456622681 (Tel: 7407083954)
Nurse Practitioner (license number reported to NPPES: OH APRN.CNP.026256)
NPI status registered as active in NPPES database
Registered at 32 SUNSET LN, BEAVER, OH 456139319 (Tel: 7407083954)
Registered at 32 SUNSET LN, BEAVER, OH 456139319 (Tel: 7407083954)
Recorded as DEREK LAWHORN
Nurse Practitioner (license number reported to NPPES: OH APRN.CNP.026256)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Waverly
Mailing Address
1735 27th St Ste B06
Portsmouth, OH 456622681
Phone: 7403567942