NPIMap

Individual provider Active NPI

Derek Ryan Johnson, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Parker, CO
National Provider Identifier
1295946283
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
46601 Issued in CO
Practice address
9949 S Oswego St
Suite 200
Parker, CO 80134-3753
Phone
(303) 925-4750
Fax
(303) 925-4751
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301081956 MI
Orthopaedic Surgery Physician 207X00000X 46601 CO
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 46601 CO Primary

Addresses

Primary practice location

9949 S Oswego St
Suite 200
Parker, CO 80134-3753

Mailing address

9949 S Oswego St
Suite 200
Parker, CO 80134-3753
Phone (303) 925-4750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090728000028 CO Practitioner - Orthopedic Surgery 5698828432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

10470 S Progress Way
Unit 104
Parker, CO 80134-4037
Phone (303) 617-4700

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

9395 Crown Crest Blvd
Parker, CO 80138-8573
Phone (303) 269-4975

9949 S Oswego St
200 MRNH Orthopedics
Parker, CO 80134-3753
Phone (303) 925-4750

Hospital & facility affiliations

  • Berkley Home Health Home health agency, Aurora, CO, CCN 067407
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement66
Knee replacement154
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301081956MIMDOrthopaedic Surgery Physician
46601COMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince May 1, 2017 Accepting new patients
Portercare Adventist Health System CurrentSince May 1, 2017 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9949 S Oswego St
Ste 200
Parker, CO 80134
Phone (303) 649-3100

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1295946283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9949 S OSWEGO ST",
            "address_2": "SUITE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343753",
            "telephone_number": "303-925-4750",
            "fax_number": "303-925-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9949 S OSWEGO ST",
            "address_2": "SUITE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343753",
            "telephone_number": "303-925-4750",
            "fax_number": "303-925-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEREK",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301081956",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "46601",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CO",
            "license": "46601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.