Jeremy Derickson, PA-C
NPI 1821544503ActiveIndividual· Physician Assistant· Mesa, AZ
Physician Assistant (PA-C) in Mesa, Arizona, trained at At Still University, Arizona School of Dentistry & Oral Hlth (class of 2016). Their prescriptions cost Medicare Part D more than their services did: $472,863 for 4,754 claims, against $42,518 paid for services in 2024. Novo Nordisk Inc was the largest of 19 companies reporting payments in 2025, $1,191 in all, mostly food and beverage.
Overview
| NPI | 1821544503 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 31, 2016 |
| Last updated in NPPES | Oct 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | AZ |
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 - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 228 |
|---|---|
| Services billed | 815 across 33 procedure codes |
| Paid by Medicare | $42,518 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,754 · 11,792 30-day fills |
|---|---|
| Patients | 564 |
| Total drug cost | $472,863 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | At Still University, Arizona School of Dentistry & Oral Hlth |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Physician Assistant |
Medical group
- Brown Road Family Medicine, PLLCMesa, AZ · 7 clinicians
Industry payments (Open Payments)
- 2025$1,191 · 75 payments from 19 companies
- 2024$1,369 · 85 payments from 22 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $250.94 | 17 |
| Astrazeneca Pharmaceuticals LP | $233.65 | 22 |
| Lilly USA, LLC | $79.48 | 4 |
| Glaxosmithkline, LLC. | $78.68 | 4 |
| Abbott Laboratories | $72.98 | 3 |
What the 2025 payments were for
- Food and Beverage$1,191 · 75 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Mesa
- 1306728662
- 1356597363
- 1063414860
- 1346037181
- 1104667757
- 1790574986
- 1033734686
- 1467293563
- 1568961258
- 1255120499
- 1780271270
- 1710381413