Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Derek Hennessy , PA-C

Physician Assistant โ€ข Spokane, WA

Active NPI 1073685285 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

322 W North River Dr
Spokane, WA 992013208

Call 5092765005 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

322 W North River Dr

Spokane, WA 992013208

Telephone 5092765005
Fax 5092767785
Organization at the Same NPPES Address or Phone
Kaiser Foundation Health Plan Of Washington Facility NPI 1760516454

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: Kaiser Foundation Health Plan Of Washington. 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

2004

Medicare patients

130 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 โ€“ by Provider, 2024.

Medicare-allowed amount

About $26,722 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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $20,010 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 โ€“ by Provider and Service, 2024.

30-day fills

6,104 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

$103,681 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

22 years (graduated 2004)

CMS Doctors and Clinicians data list 2004 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

2006

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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 Hennessy 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

Can order Medicare-covered services

CMS lists Derek Hennessy 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Spokane and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Spokane, WA (2024, 158 clinicians with data). Median for this group: 271. Middle half: 86 to 623.

More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: 218. Middle half: 77 to 474.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Spokane, WA (2024, 158 clinicians with data). Median for this group: $22,397. Middle half: $7,392 to $45,879.

A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $16,952. Middle half: $6,879 to $34,613.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Spokane, WA (2024, 158 clinicians with data). Median for this group: $16,363. Middle half: $5,367 to $34,615.

A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $12,488. Middle half: $4,857 to $25,122.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Spokane, WA (2024, 187 clinicians with data). Median for this group: 280. Middle half: 115 to 1,102.

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Spokane, WA (2024, 187 clinicians with data). Median for this group: $6,032. Middle half: $1,197 to $122,373.

A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: $4,328. Middle half: $751 to $64,764.

315 active clinicians are listed under Physician Assistant with a practice address in Spokane, WA (3,718 in Washington).

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

Telehealth indicator in Spokane

14.3% of these 315 clinicians have the CMS telehealth indicator.

68.9% of these 315 clinicians are listed by CMS as accepting Medicare assignment.

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

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“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 โ€“ by Provider and Service data, 2017โ€“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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
82 48 $298.66 $108.93
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
66 46 $298.66 $77.15
99442 Telephone medical discussion with physician, 11-20 minutes
49 28 $128.21 $76.72
96372 Injection of drug or substance under skin or into muscle
41 11 $56.13 $11.99
90662 Influenza vaccine split virus, preservative free
27 27 $88.00 $81.82
G0008 Administration of influenza virus vaccine
27 27 $109.69 $32.37
99441 Telephone medical discussion with physician, 5-10 minutes
23 16 $81.20 $47.92
90480 Admn sarscov2 vacc 1 dose
22 22 $144.43 $43.16
91320 Sarscv2 vac 30mcg trs-suc im
22 22 $412.36 $150.57

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.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 180 4,164 $5,466.18 47
Levothyroxine Sodium Levothyroxine Sodium 140 11,380 $2,193.81 47
Gabapentin Gabapentin 110 6,570 $2,635.79 29
Atorvastatin Calcium Atorvastatin Calcium 102 9,180 $1,274.58 32
Omeprazole Omeprazole 102 8,376 $1,426.35 33
Lisinopril Lisinopril 96 8,520 $1,066.28 33
Losartan Potassium Losartan Potassium 88 7,260 $1,102.42 30
Rosuvastatin Calcium Rosuvastatin Calcium 81 6,345 $1,289.05 23
Trazodone Hcl Trazodone Hcl 79 3,999 $1,146.99 20
Tamsulosin Hcl Tamsulosin Hcl 64 5,444 $1,133.90 20
Pantoprazole Sodium Pantoprazole Sodium 59 4,110 $816.73 21
Metformin Hcl Er Metformin Hcl 58 3,932 $576.94 18
Hydrochlorothiazide Hydrochlorothiazide 57 5,130 $549.98 19
Amlodipine Besylate Amlodipine Besylate 55 4,515 $554.13 20
Simvastatin Simvastatin 51 4,590 $710.62 16
Furosemide Furosemide 49 2,150 $418.95 15
Sertraline Hcl Sertraline Hcl 48 2,614 $444.71 โ€”
Oxybutynin Chloride Er Oxybutynin Chloride 42 2,242 $1,220.09 11
Jardiance Empagliflozin 42 2,748 $20,448.69 16
Metformin Hcl Metformin Hcl 41 3,510 $532.54 15
Duloxetine Hcl Duloxetine Hcl 39 2,377 $855.03 15
Oxycodone Hcl Oxycodone Hcl 36 433 $550.29 โ€”
Clonazepam Clonazepam 35 910 $235.80 โ€”
Buspirone Hcl Buspirone Hcl 35 1,740 $602.32 โ€”
Donepezil Hcl Donepezil Hcl 34 1,950 $307.06 โ€”

(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: 2021-04-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WA PA10004720

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20061212000465

Enrollment State Jurisdiction

WA

PECOS Control ID

8022017482

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Kaiser Foundation Health Plan Of Washington

322 W N River Dr, Spokane, WA 992013208

Phone: 5093246464

Kaiser Foundation Health Plan Of Washington

6002 N Lidgerwood St, Spokane, WA 992081124

Phone: 5094824402

Kaiser Foundation Health Plan Of Washington

9505 S Steele St, Tacoma, WA 984441858

Phone: 2535976800

Clinicians Sharing This Practice Address or Phone

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

9 listed
Taylor Broughton , PA-C

Physician Assistant

NPI 1952758187

Physician Assistant (Certified)

Stephanie Doud , ARNP

Nurse Practitioner - Primary Care

NPI 1861128852

Advanced Registered Nurse Practitioner

NPI 1487650883

Doctor of Medicine (M.D.)

NPI 1518134964

Doctor of Medicine (M.D.)

Kendahl Ludiker , PA

Physician Assistant

NPI 1083248686

Physician Assistant

Dr. Julie Moran , MD

Family Medicine

NPI 1558367961

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
๐Ÿ“
Updated Practice Location April 13, 2021

Registered at 322 W NORTH RIVER DR, SPOKANE, WA 992013208 (Tel: 5092765005)

โœ…
NPI Profile Active January 12, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Business Mailing Address January 12, 2017

Registered at 322 W NORTH RIVER DR, SPOKANE, WA 992013208 (Tel: 5092765005)

๐Ÿ“
Updated Practice Location January 12, 2017

Registered at 905 EAST D STREET, DEER PARK, WA 99006 (Tel: 5092765005)

๐Ÿ‘ค
Provider Name / Credentials Updated January 12, 2017

Recorded as DEREK HENNESSY, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2017

Physician Assistant (license number reported to NPPES: WA PA10004720)

โœ…
NPI Profile Active July 16, 2010

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 16, 2010

Registered at 905 EAST D STREET, DEER PARK, WA 99006 (Tel: 5092765005)

๐Ÿ“
Business Mailing Address (Initial Record) July 16, 2010

Registered at PO BOX 1529, DEER PARK, WA 990061529 (Tel: 5092765005)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 16, 2010

Recorded as DEREK HENNESSY, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2010

Physician Assistant (license number reported to NPPES: WA PA10004720)

๐ŸŸข
Initial NPI Registration & Enumeration November 14, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073685285
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2006
Last Update: April 13, 2021
Sole Proprietor: No

Other Physician Assistants in Spokane

All Physician Assistants in Spokane

More public profiles in Washington

Directory navigation, in NPI number order.

Mailing Address

322 W North River Dr

Spokane, WA 992013208

Phone: 5092765005

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.