DUSTIN C. DERRICK M.D. – NPI #1295049070
Plastic Surgery

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.

DUSTIN DERRICK is a plastic surgeon located in FORT WORTH, TX. NPPES has assigned the NPI number 1295049070 to DUSTIN DERRICK on August 03, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

The NPI profile was previously updated about 5 years ago on Oct 13, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DUSTIN DERRICK below.

NPI Profile for
DUSTIN C. DERRICK

NPI Number
1295049070
Enumeration Date

(about 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DUSTIN C. DERRICK
Credentials
M.D.
Primary location
800 12TH AVE STE 100
FORT WORTH, TX 76104-2519
Phone: (817) 810-0770 Fax: (817) 820-0242
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Oct 13, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208200000X
- Plastic Surgery (Primary)
TX Q4085
390200000X
- Student in an Organized Health Care Education/Training Program
OH 57. 025880
208600000X
- Surgery
TX Q4085

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO - Graduated 2010
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DUSTIN DERRICK is affiliated with the following medical group(s):
  • HOSPITAL
    • MEDICAL CITY WEATHERFORD
      713 E ANDERSON ST
      WEATHERFORD, TX 76086
    • TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
      1301 PENNSYLVANIA AVENUE
      FORT WORTH, TX 76104

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.