DR. ALLISON JO DERRICK M.D.
NPI 1851520100
Plastic Surgery in La Crosse, WI
About Dr. Allison Jo Derrick M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALLISON JO DERRICK M.D. (NPI 1851520100) is an individual plastic surgery provider in La Crosse, Wisconsin, licensed in Wisconsin (65076) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Gundersen Lutheran Medical Center, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Allison Jo Derrick 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.
Medicare Billing Reassignment
Medicare enrollment records show Allison Derrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin and Minnesota enrollments
- Also billed through NPI 1376593442 (Minnesota)
- 1,457 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Gundersen Lutheran Medical Center
Acute Care Hospitals · La Crosse, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
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 Allison Derrick's NPI number?
The NPI number for Allison Derrick is 1851520100. It was assigned to this individual provider in the NPPES registry on July 8, 2009.
Where is Allison Derrick located?
Allison Derrick practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.
What is Allison Derrick's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Allison Derrick enrolled in Medicare?
Yes. Allison Derrick 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.
Which organization bills Medicare for Allison Derrick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Allison Derrick reassigns Medicare benefits to Gundersen Lutheran Medical Center, Inc (La Crosse, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Allison Derrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Allison Derrick accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Quartz list Allison 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.
Is Allison Derrick affiliated with any hospitals?
According to CMS data, Allison Derrick is affiliated with Gundersen Lutheran Medical Center.
When was this NPI record last updated?
The NPPES record for Allison Derrick was last updated on July 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Allison Jo Derrick, M.D. · NPI 1851520100
Plastic Surgery physician in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since July 8, 2009.
## Identity
- **NPI:** 1851520100 (Entity type: Individual)
- **Enumerated:** July 8, 2009
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** 65076 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1836 SOUTH AVE, La Crosse, WI 54601-5429
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gundersen Lutheran Medical Center, Inc (NPI 1619210895, La Crosse, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** July 5, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1851520100) · Data from the CMS NPPES public registry.