Derek Brent Johnson, D.O.
NPI 1962605857ActiveIndividual· Anesthesiology· Murray, UT
Anesthesiology (D.O.) with Kauai Medical Clinic and 1 other group, practicing in Murray, Utah. Medicare paid $15,536 for services to 88 patients in 2024. Lists Vail Health Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1962605857 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Jun 7, 2007 |
| Last updated in NPPES | Jan 9, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 359058-1204 | UT |
| Student in an Organized Health Care Education/Training Program | 390200000X | 2006018684 | MO |
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 - Anesthesiology (CO); Practitioner - Anesthesiology (HI); Practitioner - Anesthesiology (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 88 |
|---|---|
| Services billed | 102 across 33 procedure codes |
| Paid by Medicare | $15,536 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Anesthesiology |
Medical groups
- Kauai Medical ClinicLihue, HI · 147 clinicians
- Anesthesia Partners of ColoradoEdwards, CO · 90 clinicians
Hospital affiliations
- Vail Health HospitalVail, CO
- Wilcox Memorial HospitalLihue, HI
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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