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DEREK A HAGEN DO
NPI 1184689465
Family Medicine in Anchorage, AK

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
4100 LAKE OTIS PKWY STE 216, ANCHORAGE, AK 99508(907) 563-2873(907) 563-5852 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Dec 17, 2021 (2 updates tracked since 2021).

About Derek A Hagen Do NPPES

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

DEREK A HAGEN DO (NPI 1184689465) is an individual family medicine provider in Anchorage, Alaska, licensed in Alaska (3954) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1994).

NPPES Registry Identity

NPI1184689465
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDEREK A HAGENCredential: DO
Location Address4100 LAKE OTIS PKWY STE 216Anchorage, AK 99508-5230
Mailing Address4100 Lake Otis Pkwy Ste 216Anchorage, AK 99508-5230 · (907) 563-2873 · Fax (907) 563-5852
Phone(907) 563-2873
Fax(907) 563-5852
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1994
Enumeration DateApril 19, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1184689465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AK · 3954
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4100 LAKE OTIS PKWY STE 216, Anchorage, AK 99508
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Other Identifiers 2

Other3954AK · License
MedicaidMD39541AK

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

Derek A Hagen Do 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 ID6103892518
PECOS Enrollment IDI20210412000016
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
Most-billed visit code 99214
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
3%283 patients1/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
70%167 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
2%572 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,762 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%1,701 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%115 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
61%1,167 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
1%726 patients1/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
81%1,167 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%1,167 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
36%1,167 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

ALFRED LONSER M.D.
Anesthesiology
4100 LAKE OTIS PKWY STE 216
ANCHORAGE, AK 99508
Anchorage Municipality (907) 563-2873
TARA MICHELLE WOOD
Physician Assistant
4100 LAKE OTIS PKWY STE 216
ANCHORAGE, AK 99508
Anchorage Municipality (907) 563-2873

Frequently Asked Questions

What is Derek Hagen's NPI number?

The NPI number assigned to this healthcare provider is 1184689465, enumerated as an "individual" on April 19, 2006.

Where is the provider located?

The provider is located at 4100 LAKE OTIS PKWY STE 216 ANCHORAGE, AK 99508 and the phone number is (907) 563-2873.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does Derek Hagen accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.