Allison J. Derry
NPI 1669140265ActiveIndividual· Physician Assistant· Tulsa, OK
Physician Assistant in Tulsa, Oklahoma, licensed in OK, with an NPI issued in August 2021. 68 Medicare patients in 2024, $6,272 paid; nearly all of their 91 Part D prescriptions were generic (97%).
Overview
| NPI | 1669140265 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 31, 2021 |
| Last updated in NPPES | Mar 14, 2024 |
| Certified by provider | Mar 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5159 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 68 |
|---|---|
| Services billed | 74 across 20 procedure codes |
| Paid by Medicare | $6,272 |
Part D prescriptions in 2024
| Prescriptions (claims) | 91 · 92 30-day fills |
|---|---|
| Patients | 74 |
| Total drug cost | $1,443 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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