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DEREK BRENT JOHNSON D.O.
NPI 1962605857
Anesthesiology in Murray, UT

Active since June 07, 2007PECOS EnrolledAccepts Medicare Assignment
83.15/100
CMS Quality Rating
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER, MURRAY, UT 84157(801) 507-5248 Get Directions Write a Review

NPPES record last updated: January 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derek Brent Johnson D.o. NPPES

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

DEREK BRENT JOHNSON D.O. (NPI 1962605857) is an individual anesthesiology provider in Murray, Utah, licensed in Utah (359058-1204) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1962605857
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDEREK BRENT JOHNSONCredential: D.O.
Location Address5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTERMurray, UT 84157-2520
Mailing Address3136 Lower Saddleback RdPark City, UT 84098-4829 · (801) 707-7423
Phone(801) 507-5248
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 7, 2007
Last NPPES UpdateJanuary 9, 2012
✔ NPI 1962605857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in UT · 359058-1204
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2006018684 (MO)
5121 S COTTONWOOD STREET, Murray, UT 84157
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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 Brent Johnson D.o. 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 ID6901939552
PECOS Enrollment IDI20220311001748
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

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

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.

83.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.12
Promoting Interoperability100
Improvement Activities40
Cost69.73

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.

JUSTIN M ADEN MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
ETHAN K FISHER MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
DR. JAYAPRAKASH MOODALAGIRIAPPA MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
SCOTT NATHAN HURST M.D.
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
DR. BRIAN PAUL MATTHEWS M.D.
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
SCOTT LYLES PROVOST MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
DR. KEVIN MICHAEL CUMMISFORD M.D.
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
RYAN WILLIAM NELSON MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248

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 Johnson's NPI number?

The NPI number for Derek Johnson is 1962605857. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Derek Johnson located?

Derek Johnson practices at 5121 S Cottonwood Street Intermountain Medical Center, Murray, UT 84157. The listed phone number is (801) 507-5248.

What is Derek Johnson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Derek Johnson enrolled in Medicare?

Yes. Derek Johnson 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.

Is Derek Johnson affiliated with any hospitals?

According to CMS data, Derek Johnson is affiliated with Wilcox Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Derek Johnson was last updated on January 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.