DERRICK WANSOM MD
NPI 1306124912
Anesthesiology - Pain Medicine in San Marcos, TX

Q: What is Derrick Wansom's NPI number?

The NPI number for Derrick Wansom is 1306124912. It was assigned to this individual provider in the NPPES registry on July 31, 2011.

Q: What is Derrick Wansom's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Q: When was this NPI record last updated?

The NPPES record for Derrick Wansom was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 31, 2011PECOS EnrolledAccepts Medicare Assignment

1320 WONDER WORLD DR STE 106, SAN MARCOS, TX 78666(512) 851-1165(833) 925-2433 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2022, Aug 19, 2022, May 29, 2019 (3 updates tracked since 2019).

On this page

About Derrick Wansom Md NPPES

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

DERRICK WANSOM MD (NPI 1306124912) is an individual pain medicine provider in San Marcos, Texas, licensed in Texas (Q9077) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in New Braunfels, and is a graduate of Wayne State University School Of Medicine (2011).

NPPES Registry Identity

NPI1306124912

Entity TypeIndividualMale

Primary Taxonomy207LP2900X

Provider Legal NameDERRICK WANSOMCredential: MD

Location Address1320 WONDER WORLD DR STE 106San Marcos, TX 78666-7558

Mailing Address1320 Wonder World Dr Ste 106San Marcos, TX 78666-7558 · (512) 851-1165 · Fax (512) 485-7224

Phone(512) 851-1165

Fax(833) 925-2433

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2011

Enumeration DateJuly 31, 2011

Last NPPES UpdateNovember 21, 20223 updates tracked since enumeration

NPPES CertifiedNovember 21, 2022

✔ NPI 1306124912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in TX · Q9077

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License Q9077 (TX)

1320 WONDER WORLD DR STE 106, San Marcos, TX 78666

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Secondary Practice Location 1

Location 12115 Stephens Pl Ste 1400New Braunfels, TX 78130-2159 · Phone (830) 715-0538 · Fax (833) 925-2433

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Derrick Wansom 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 ID1153625470

PECOS Enrollment IDI20160810000199

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 17

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 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.

489 services117 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

70 services70 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

46 services25 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

44 services24 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

35 services17 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

34 services21 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

33 services17 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

32 services26 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

32 services31 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

31 services30 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

26 services16 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

22 services14 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

22 services20 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

21 services20 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

21 services15 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

19 services11 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

14 services13 patients

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

0%111 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%89 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

29%82 patients2/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

95%1,203 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%136 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

15%310 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%320 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

13%665 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 242 patients

0%242 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

71%24 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 5% · 152 patients

Patients totalRate: 11% · 152 patients

6%152 patients4/55-star benchmark: 100%

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 4

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

DR. RAHUL SARNA M.D.

Pain Medicine (Interventional Pain Medicine)

1320 WONDER WORLD DR STE 106
SAN MARCOS, TX 78666

Hays County (512) 851-1165

MR. HISHAM KHAN

Anesthesiology (Pain Medicine)

1320 WONDER WORLD DR STE 106
SAN MARCOS, TX 78666

Hays County (512) 851-1165

ROLANDO SANTIAGO JR. APRN

Nurse Practitioner (Family)

1320 WONDER WORLD DR STE 106
SAN MARCOS, TX 78666

Hays County (512) 851-1165

LONE STAR SPINE AND PAIN INSTITUTE PLLC

Pain Medicine (Interventional Pain Medicine)

1320 WONDER WORLD DR STE 106
SAN MARCOS, TX 78666

Hays County (512) 851-1165

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 Derrick Wansom's NPI number?

The NPI number for Derrick Wansom is 1306124912. It was assigned to this individual provider in the NPPES registry on July 31, 2011.

Where is Derrick Wansom located?

Derrick Wansom practices at 1320 Wonder World Dr Ste 106, San Marcos, TX 78666. The listed phone number is (512) 851-1165.

What is Derrick Wansom's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Derrick Wansom enrolled in Medicare?

Yes. Derrick Wansom 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 Derrick Wansom accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Derrick Wansom 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.

When was this NPI record last updated?

The NPPES record for Derrick Wansom was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.