Allison Jo Derrick, M.D.
NPI 1851520100ActiveIndividual· Plastic Surgery· La Crosse, WI
Plastic Surgery (M.D.) with Gundersen Lutheran Medical Center Inc, practicing in La Crosse, Wisconsin. Mostly services rather than prescriptions: Medicare paid $11,974 for 25 patients in 2024, with only 33 Part D claims. Lists Gundersen Lutheran Medical Center as a hospital affiliation.
Overview
| NPI | 1851520100 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 8, 2009 |
| Last updated in NPPES | Jul 5, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 65076 | WI |
| Surgery | 208600000X | 11015151A | IN |
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 (MN); Practitioner - Plastic and Reconstructive Surgery (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 73 across 42 procedure codes |
| Paid by Medicare | $11,974 |
Part D prescriptions in 2024
| Prescriptions (claims) | 33 · 33 30-day fills |
|---|---|
| Patients | 14 |
| Total drug cost | $470.04 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Plastic And Reconstructive Surgery |
Medical group
- Gundersen Lutheran Medical Center IncLa Crosse, WI · 895 clinicians
Hospital affiliation
- Gundersen Lutheran Medical CenterLa Crosse, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Plastic Surgery providers in La Crosse
- 1700306347