Dr. Derek Ryan Fletcher , MD
Plastic Surgery • Spokane, WA
530 S Cowley St
Spokane, WA 992021316
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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Dr. Derek Fletcher is listed in NPPES under Plastic Surgery.
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NPI assigned on August 14, 2008; this date does not establish years in practice.
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Published CMS data list 11 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99205 — New patient outpatient office visit: 11 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 52 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) — 26 prescription fills, including refills.
- Oxycodone Hcl — 26 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 the full table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 95% of clinicians listed under Plastic Surgery in Washington (2024, 20 clinicians with data). Median for this group: 52. Middle half: 26 to 67.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 46 in 2020 to 11 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
530 S Cowley St
Spokane, WA 992021316
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Pittsburgh, PA; Spokane, WA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Plastic Surgery Northwest Pllc. 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
University Of Washington School Of Medicine
2007
What Public CMS Data Show
Plastic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
29 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 – by Provider, 2024.
Medicare-allowed amount
About $2,404 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 – by Provider and Service, 2024.
Paid by Medicare
About $1,915 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 – by Provider and Service, 2024.
30-day fills
52 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
$578 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: $406.83 across 11 records.
By nature of payment
- Food and Beverage: $406.83 across 11 records.
Reporting-company totals (3 largest of 4)
- REVANCE THERAPEUTICS, INC.: $179.64 across 3 records.
- ABBVIE INC.: $165.64 across 5 records.
- Mentor Worldwide LLC: $37.23 across 2 records.
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).
Years since graduation
19 years (graduated 2007)
CMS Doctors and Clinicians data list 2007 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
2008
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, “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. Fletcher 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. Fletcher 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 Spokane and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 95% of clinicians listed under Plastic Surgery in Washington (2024, 20 clinicians with data). Median for this group: 52. Middle half: 26 to 67.
Too few clinicians listed under Plastic Surgery in Spokane have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Plastic Surgery in Washington (2024, 20 clinicians with data). Median for this group: $4,900. Middle half: $2,666 to $11,454.
Too few clinicians listed under Plastic Surgery in Spokane have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Plastic Surgery in Washington (2024, 20 clinicians with data). Median for this group: $3,697. Middle half: $2,008 to $8,712.
Too few clinicians listed under Plastic Surgery in Spokane have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Plastic Surgery in Washington (2024, 28 clinicians with data). Median for this group: 53. Middle half: 18 to 84.
Too few clinicians listed under Plastic Surgery in Spokane have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Plastic Surgery in Washington (2024, 28 clinicians with data). Median for this group: $274. Middle half: $85 to $584.
Too few clinicians listed under Plastic Surgery in Spokane have Medicare Part D data for 2024 to compare.
7 active clinicians are listed under Plastic Surgery with a practice address in Spokane, WA (91 in Washington).
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 decreased 76% from 46 in 2020 to 11 in 2024.
- 2020: 46
- 2021: 13
- 2022: 14
- 2023: 48
- 2024: 11
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Medicare-allowed amount
Medicare-allowed amount decreased 60% from $6,016 in 2020 to $2,404 in 2024.
- 2020: $6,016
- 2021: $2,897
- 2022: $1,279
- 2023: $8,901
- 2024: $2,404
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Paid by Medicare
Paid by Medicare decreased 52% from $3,973 in 2020 to $1,915 in 2024.
- 2020: $3,973
- 2021: $2,141
- 2022: $732
- 2023: $6,384
- 2024: $1,915
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 53 in 2019 and 52 in 2024.
- 2019: 53
- 2020: 51
- 2022: 78
- 2023: 59
- 2024: 52
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30-day fills
30-day fills stayed about the same: 53 in 2019 and 52 in 2024.
- 2019: 53
- 2020: 51
- 2022: 78
- 2023: 59
- 2024: 52
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Part D drug cost
Part D drug cost went from $498 in 2019 to $578 in 2024.
- 2019: $498
- 2020: $232
- 2022: $576
- 2023: $322
- 2024: $578
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $214.98 in 2021 to $406.83 in 2025.
- 2021: $214.98
- 2022: $120.23
- 2023: $294.68
- 2024: $145.74
- 2025: $406.83
Sources: CMS Medicare Physician & Other Practitioners (2024), 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): 11 records totaling $406.83.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $112.91 |
| REVANCE THERAPEUTICS, INC. |
Food and Beverage
In-kind items and services
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DAXXIFY | General | $71.43 |
| REVANCE THERAPEUTICS, INC. |
Food and Beverage
In-kind items and services
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DAXXIFY | General | $70.98 |
| REVANCE THERAPEUTICS, INC. |
Food and Beverage
In-kind items and services
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DAXXIFY | General | $37.23 |
| MOTIVA USA, LLC |
Food and Beverage
Cash or cash equivalent
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Motiva Implant Matrix | General | $24.32 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $23.87 |
| Mentor Worldwide LLC |
Food and Beverage
In-kind items and services
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MENTOR SILTEX Round SPECTRUM | General | $22.89 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $18.85 |
| Mentor Worldwide LLC |
Food and Beverage
In-kind items and services
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MENTOR CPX 2 Breast Tissue Expander | General | $14.34 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $7.89 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $2.12 |
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 2016–2023 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 |
|---|---|---|---|---|
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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11 | 11 | $415.00 | $218.52 |
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.
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 | 26 | 99 | $439.64 | 20 |
| Oxycodone Hcl | Oxycodone Hcl | 26 | 105 | $138.82 | 20 |
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: 2021-11-08NUCC 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.
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.
NUCC Taxonomy Code: 2082S0099X
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
NUCC Taxonomy Code: 2082S0105X
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PLASTIC AND RECONSTRUCTIVE SURGERY
I20180731002461
WA
6507149812
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
Plastic Surgery Northwest Pllc
530 S Cowley St, Spokane, WA 992021316
Phone: 5098381010
Secondary Practice Locations
820 S Mcclellan St Ste 118
Spokane, WA 992042446
Phone: 5098387100
1442 Laclair St Apt 1
Pittsburgh, PA 152181210
Phone: 2537973213
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 530 S COWLEY ST, SPOKANE, WA 992021316 (Tel: 5093216033)
Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 5098387100)
NPI status registered as active in NPPES database
Registered at 1442 LACLAIR ST APT 1, PITTSBURGH, PA 152181210 (Tel: 2537973213)
Registered at 1442 LACLAIR ST APT 1, SWISSVALE, PA 152181210 (Tel: 2537973213)
Recorded as DEREK FLETCHER, M.D.
Plastic Surgery (license number reported to NPPES: PA MT191401)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Plastic Surgery Specialists in Spokane
Healthcare providers in SpokaneMailing Address
Po Box 421
Liberty Lake, WA 990190421
Phone: 5098387100