MR. DEREK R MCCLUSKY M.D.
NPI 1184694903
Surgery in Ruston, LA

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
78.33/100
CMS Quality Rating
1200 S FARMERVILLE ST, RUSTON, LA 71270(318) 255-3690 Get Directions Write a Review

NPPES record last updated: October 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Derek R Mcclusky M.d. NPPES

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

MR. DEREK R MCCLUSKY M.D. (NPI 1184694903) is an individual surgery provider in Ruston, Louisiana, licensed in Louisiana (25752) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Louisiana Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (1999).

NPPES Registry Identity

NPI1184694903
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. DEREK R MCCLUSKYCredential: M.D.
Location Address1200 S FARMERVILLE STRuston, LA 71270-5941
Mailing Address1200 S Farmerville StRuston, LA 71270-5941 · (318) 255-3690
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1999
Enumeration DateJanuary 24, 2006
Last NPPES UpdateOctober 15, 2009
NPI 1184694903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in LA · 25752
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.
1200 S FARMERVILLE ST, Ruston, LA 71270

Other Identifiers 2

Medicare NSC0599520002LA
Medicare UPINH75025LA

Accepted Insurance

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 R Mcclusky M.d. 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 ID8426077470
PECOS Enrollment IDI20051118000239
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 19

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services80 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
59 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services31 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
31 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Northern Louisiana Medical Center

Acute Care Hospitals · Ruston, LA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number190086
Location401 East Vaughn AvenueRuston, LA 71270 · Lincoln County
Emergency services Birthing friendly

Glenwood Regional Medical Center

Acute Care Hospitals · West Monroe, LA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number190160
Location503 Mcmillan RoadWest Monroe, LA 71291 · Ouachita County
Emergency services

Jackson Parish Hospital

Critical Access Hospitals · Jonesboro, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191317
Location165 Beech Springs RoadJonesboro, LA 71251 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71270 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

78.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality54.65
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery
1200 S FARMERVILLE ST
RUSTON, LA 71270
Physical Medicine & Rehabilitation
1200 S FARMERVILLE ST
RUSTON, LA 71270
Nurse Practitioner (Family)
1200 S FARMERVILLE ST
RUSTON, LA 71270
Obstetrics & Gynecology
1200 S FARMERVILLE ST
RUSTON, LA 71270
Internal Medicine (Cardiovascular Disease)
1200 S FARMERVILLE ST
RUSTON, LA 71270
Nurse Practitioner (Family)
1200 S FARMERVILLE ST
RUSTON, LA 71270
Obstetrics & Gynecology (Gynecology)
1200 S FARMERVILLE ST
RUSTON, LA 71270
Internal Medicine
1200 S FARMERVILLE ST
RUSTON, LA 71270

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 Mcclusky's NPI number?

The NPI number for Derek Mcclusky is 1184694903. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Derek Mcclusky located?

Derek Mcclusky practices at 1200 S Farmerville St, Ruston, LA 71270. The listed phone number is (318) 255-3690.

What is Derek Mcclusky's specialty?

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

Is Derek Mcclusky enrolled in Medicare?

Yes. Derek Mcclusky 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.

What insurance does Derek Mcclusky accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Derek Mcclusky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Derek Mcclusky affiliated with any hospitals?

According to CMS data, Derek Mcclusky is affiliated with Northern Louisiana Medical Center, Glenwood Regional Medical Center and Jackson Parish Hospital.

When was this NPI record last updated?

The NPPES record for Derek Mcclusky was last updated on October 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.