MR. DEREK RAY SERNA-GALLEGOS MD
NPI 1003222381
Surgery in Pittsburgh, PA

Active since July 07, 2014PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
5200 CENTRE AVE STE 715, PITTSBURGH, PA 15232(299) 441-2623 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2020, Mar 6, 2018 (2 updates tracked since 2018).

About Mr. Derek Ray Serna-gallegos Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DEREK RAY SERNA-GALLEGOS MD (NPI 1003222381) is an individual surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD463917) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Upmc Passavant, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1003222381
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. DEREK RAY SERNA-GALLEGOSCredential: MD
Location Address5200 CENTRE AVE STE 715Pittsburgh, PA 15232-1327
Mailing Address3600 Forbes Ave, Forbes Tower - Plaza Leve 1 Suite 140Pittsburgh, PA 15213
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 7, 2014
Last NPPES UpdateApril 9, 20202 updates tracked since enumeration
NPPES CertifiedApril 9, 2020
NPI 1003222381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in PA · MD463917 Licensed in CA · 131445
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5200 CENTRE AVE STE 715, Pittsburgh, PA 15232

Other Names 1

Former Name (1)Mr. Derek Ray Serna

Secondary Practice Location 1

Location 1200 Lothrop Street, Suite C800Pittsburgh, PA 15213 · Phone (412) 648-6200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Derek Ray Serna-gallegos Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426356197
PECOS Enrollment IDI20200519000019
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
31 services31 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
5200 CENTRE AVE STE 715
PITTSBURGH, PA 15232
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5200 CENTRE AVE STE 715
PITTSBURGH, PA 15232
Nurse Practitioner (Acute Care)
5200 CENTRE AVE STE 715
PITTSBURGH, PA 15232
Physician Assistant
5200 CENTRE AVE STE 715
PITTSBURGH, PA 15232
Student in an Organized Health Care Education/Training Program
5200 CENTRE AVE STE 715
PITTSBURGH, PA 15232
Surgery
5200 CENTRE AVE STE 715
PITTSBURGH, PA 15232
Physician Assistant (Surgical)
5200 CENTRE AVE STE 715
PITTSBURGH, PA 15232
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5200 CENTRE AVE STE 715
PITTSBURGH, PA 15232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Serna-gallegos's NPI number?

The NPI number for Derek Serna-gallegos is 1003222381. It was assigned to this individual provider in the NPPES registry on July 7, 2014. The provider is also known as Mr. Derek Ray Serna.

Where is Derek Serna-gallegos located?

Derek Serna-gallegos practices at 5200 Centre Ave Ste 715, Pittsburgh, PA 15232. The listed phone number is (299) 441-2623.

What is Derek Serna-gallegos's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Derek Serna-gallegos enrolled in Medicare?

Yes. Derek Serna-gallegos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Derek Serna-gallegos affiliated with any hospitals?

According to CMS data, Derek Serna-gallegos is affiliated with Upmc Passavant, Excela Health Westmoreland Regional Hospital, Upmc Presbyterian Shadyside, Excela Health Latrobe Hospital and Upmc East.

When was this NPI record last updated?

The NPPES record for Derek Serna-gallegos was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.