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ELLEN LYMAN THOMASON DERRICK MD
NPI 1659480630
Surgery - Vascular Surgery in Seattle, WA

Active since August 30, 2006PECOS Enrolled
3216 NE 45TH PL STE 207, SEATTLE, WA 98105(206) 596-3976(206) 486-9013 Get Directions Write a Review

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

Record update history: Jul 21, 2022, Jul 10, 2017, Mar 16, 2016 (3 updates tracked since 2016).

About Ellen Lyman Thomason Derrick Md NPPES

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

ELLEN LYMAN THOMASON DERRICK MD (NPI 1659480630) is an individual vascular surgery provider in Seattle, Washington, licensed in Washington (MD00045873) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1659480630
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameELLEN LYMAN THOMASON DERRICKCredential: MD
Location Address3216 NE 45TH PL STE 207Seattle, WA 98105-4028
Mailing Address6541 50th Ave NeSeattle, WA 98115 · (206) 818-6905
Phone(206) 596-3976
Fax(206) 486-9013
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1659480630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in WA · MD00045873
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3216 NE 45TH PL STE 207, Seattle, WA 98105
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Other Names 1

Former Name (1)Ellen L Thomason

Other Identifiers 1

Medicaid1659480630WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Lyman Thomason Derrick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789750076
PECOS Enrollment IDI20080910000643
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 4

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.
39 services24 patients
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475
This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.
30 services11 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.
23 services23 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
44%833 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%424 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%426 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
8%833 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 248 patients
0%248 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.

BOXBAR CONSULTING PLLC
Surgery (Vascular Surgery)
3216 NE 45TH PL STE 207
SEATTLE, WA 98105
King County (206) 596-3976
DERRICK CONSULTING PLLC
Anesthesiology
3216 NE 45TH PL STE 207
SEATTLE, WA 98105
King County (415) 596-8017

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 Ellen Derrick's NPI number?

The NPI number for Ellen Derrick is 1659480630. It was assigned to this individual provider in the NPPES registry on August 30, 2006. The provider is also known as Ellen L Thomason.

Where is Ellen Derrick located?

Ellen Derrick practices at 3216 NE 45th Pl Ste 207, Seattle, WA 98105. The listed phone number is (206) 596-3976.

What is Ellen Derrick's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Ellen Derrick enrolled in Medicare?

Yes. Ellen Derrick is registered in the Medicare PECOS enrollment system.

What insurance does Ellen Derrick accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ellen Derrick 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 Ellen Derrick was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.