Derek Ryan Fletcher, M.D.
NPI 1427204098ActiveIndividual· Plastic Surgery· Spokane, WA
Plastic Surgery (M.D.) in Spokane, Washington, trained at University of Washington School of Medicine (class of 2007). 29 Medicare patients in 2024, $37,812 paid; nearly all of their 97 Part D prescriptions were generic (98%). Revance Therapeutics, Inc. was the largest of 4 companies reporting payments in 2025, $406.83 in all, mostly food and beverage.
Overview
| NPI | 1427204098 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 14, 2008 |
| Last updated in NPPES | Nov 8, 2021 |
| Certified by provider | Nov 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | MD60865626 | WA |
| Plastic Surgery | 208200000X | MT191401 | PA |
| Plastic Surgery, Plastic Surgery Within the Head and Neck | 2082S0099X | MT191401 | PA |
| Plastic Surgery, Surgery of the Hand | 2082S0105X | MT191401 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Plastic and Reconstructive Surgery (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 150 across 32 procedure codes |
| Paid by Medicare | $37,812 |
Part D prescriptions in 2024
| Prescriptions (claims) | 97 · 99 30-day fills |
|---|---|
| Patients | 28 |
| Total drug cost | $962.67 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | University of Washington School of Medicine |
|---|---|
| Graduation year | 2007 |
| Medicare specialty | Plastic And Reconstructive Surgery |
| Secondary specialties | Hand Surgery |
Medical group
- Plastic Surgery Northwest PLLCSpokane, WA · 9 clinicians
Hospital affiliation
- Prov Sacred Hrt Med Ctr & Childs Hosp.Spokane, WA
Industry payments (Open Payments)
- 2025$406.83 · 11 payments from 4 companies
- 2024$145.74 · 6 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Revance Therapeutics, Inc. | $179.64 | 3 |
| Abbvie Inc. | $165.64 | 5 |
| Mentor Worldwide LLC | $37.23 | 2 |
| Motiva USA, LLC | $24.32 | 1 |
What the 2025 payments were for
- Food and Beverage$406.83 · 11 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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