Individual provider Active NPI

Derrick J McKay, DPM

  • Podiatrist
  • Kennewick, WA
National Provider Identifier
1821352139
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO60556853 Issued in WA
Practice address
711 S Auburn St
Kennewick, WA 99336-5665
Phone
(509) 586-2828
Fax
(509) 586-2525
NPI assigned
Jul 2, 2012
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO60556853 WA Primary

Addresses

Primary practice location

711 S Auburn St
Kennewick, WA 99336-5665

Mailing address

711 S Auburn St
Kennewick, WA 99336-5665
Phone (509) 586-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730014142 WA Practitioner - Podiatry 6406160746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benton Franklin Orthopedic Associates, PLLCGroup PAC ID 3870572589, 13 clinicians

Practice addresses (Care Compare)

8200 W Gage Blvd
Kennewick, WA 99336-8113
Phone (509) 586-2828

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.64 of 100Reported as group
Quality
76.82
Promoting interoperability
98
Improvement activities
40
Cost
76.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue41
Removal of skin lesions1-10
Removal of nail tissue383
Removal or shaving of skin growth131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benton Franklin Orthopedic Associates, PLLC CurrentSince Sep 1, 2015 Accepting new patients
Proliance Surgeons Inc P S Past Accepting new patients
United Early Learning & Family Center LLC PastSince Apr 22, 2025 Accepting new patients

Locations

711 S Auburn St
Kennewick, WA 99336
Phone (509) 586-2828

8200 W Gage Blvd
Kennewick, WA 99336
Phone (509) 586-2828

911 S Washington St
Ste B
Kennewick, WA 99336
Phone (509) 586-2828

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1821352139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365665",
            "telephone_number": "509-586-2828",
            "fax_number": "509-586-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365665",
            "telephone_number": "509-586-2828",
            "fax_number": "509-586-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "DERRICK",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO60556853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.