1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Orthopaedic Surgery
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL D DERSAM MD
NPI 1477539302
Orthopaedic Surgery in Phoenix, AZ

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
2222 E HIGHLAND AVE STE 425, PHOENIX, AZ 85016(602) 588-4040(602) 588-4034 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2021, Jan 23, 2020, Mar 16, 2018 (3 updates tracked since 2018).

About Dr. Michael D Dersam Md NPPES

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

DR. MICHAEL D DERSAM MD (NPI 1477539302) is an individual orthopaedic surgery provider in Phoenix, Arizona, licensed in Arizona (30263) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (1996).

NPPES Registry Identity

NPI1477539302
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MICHAEL D DERSAMCredential: MD
Location Address2222 E HIGHLAND AVE STE 425Phoenix, AZ 85016-4881
Mailing Address2500 W Utopia Rd Ste 100Phoenix, AZ 85027-4172 · (623) 683-4463 · Fax (623) 683-4963
Phone(602) 588-4040
Fax(602) 588-4034
Sole ProprietorYes
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1996
Enumeration DateDecember 22, 2005
Last NPPES UpdateJune 16, 20263 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1477539302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in AZ · 30263
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedSpecialistTaxonomy 174400000X · License 30263 (AZ)
2222 E HIGHLAND AVE STE 425, Phoenix, AZ 85016
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. 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

Dr. Michael D Dersam 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 ID5991791493
PECOS Enrollment IDI20040422000345
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 10

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
695 services41 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
504 services58 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.
103 services58 patients
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.
99 services66 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.
59 services53 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.
48 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 3

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

HOLLIDAY HORIZONS LLC
Orthopaedic Surgery
2222 E HIGHLAND AVE STE 425
PHOENIX, AZ 85016
Maricopa County (602) 952-8111
MICHAEL J BRENNAN MD PC
Orthopaedic Surgery
2222 E HIGHLAND AVE STE 425
PHOENIX, AZ 85016
Maricopa County (602) 667-6640
HONORHEALTH AMBULATORY
Orthopaedic Surgery
2222 E HIGHLAND AVE STE 425
PHOENIX, AZ 85016
Maricopa County (602) 687-6640

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 Michael Dersam's NPI number?

The NPI number for Michael Dersam is 1477539302. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Michael Dersam located?

Michael Dersam practices at 2222 E Highland Ave Ste 425, Phoenix, AZ 85016. The listed phone number is (602) 588-4040.

What is Michael Dersam's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Dersam enrolled in Medicare?

Yes. Michael Dersam 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 Michael Dersam accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Michael Dersam 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 Michael Dersam was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.