DEREK ALLEN LAWHORN
NPI 1952932642
Nurse Practitioner in Waverly, OH

Active since January 31, 2020PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
835 W EMMITT AVE, WAVERLY, OH 45690(740) 947-7662(740) 941-0099 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2021, Feb 24, 2021, Feb 10, 2020 and 1 more (4 updates tracked since 2020).

About Derek Allen Lawhorn NPPES

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

DEREK ALLEN LAWHORN (NPI 1952932642) is an individual nurse practitioner in Waverly, Ohio, licensed in Ohio (APRN.CNP.026256) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952932642
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDEREK ALLEN LAWHORN
Location Address835 W EMMITT AVEWaverly, OH 45690-1190
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-7942 · Fax (740) 356-7851
Fax(740) 941-0099
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 31, 2020
Last NPPES UpdateMarch 10, 20214 updates tracked since enumeration
NPPES CertifiedMarch 10, 2021
NPI 1952932642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OH · APRN.CNP.026256
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

835 W EMMITT AVE, Waverly, OH 45690

Other Identifiers 1

Medicaid0393205OH

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

Derek Allen Lawhorn 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 ID2567871684
PECOS Enrollment IDI20210430002096
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 5

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.
113 services64 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.
55 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
38 services38 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45690 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.17
Promoting Interoperability100
Improvement Activities40
Cost43.98

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers13 claims24 services$5.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Family Medicine
835 W EMMITT AVE
WAVERLY, OH 45690
Nurse Practitioner
835 W EMMITT AVE
WAVERLY, OH 45690
Nurse Practitioner
835 W EMMITT AVE
WAVERLY, OH 45690
Nurse Practitioner
835 W EMMITT AVE
WAVERLY, OH 45690
Family Medicine
835 W EMMITT AVE
WAVERLY, OH 45690
Physician Assistant
835 W EMMITT AVE
WAVERLY, OH 45690
Physician Assistant
835 W EMMITT AVE
WAVERLY, OH 45690
Pharmacy (Community/Retail Pharmacy)
835 W EMMITT AVE
WAVERLY, OH 45690

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 Lawhorn's NPI number?

The NPI number for Derek Lawhorn is 1952932642. It was assigned to this individual provider in the NPPES registry on January 31, 2020.

Where is Derek Lawhorn located?

Derek Lawhorn practices at 835 W Emmitt Ave, Waverly, OH 45690. The listed phone number is (740) 947-7662.

What is Derek Lawhorn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Derek Lawhorn enrolled in Medicare?

Yes. Derek Lawhorn 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 Lawhorn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Derek Lawhorn 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 Lawhorn affiliated with any hospitals?

According to CMS data, Derek Lawhorn is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Lawhorn was last updated on March 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.