DEREK LEY DPM
NPI 1992157788
Podiatrist - Foot & Ankle Surgery in Austin, TX

Active since July 06, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
12221 N MOPAC EXPY, AUSTIN, TX 78758(512) 901-4015(512) 901-3935 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2022, Jul 28, 2021, Jul 31, 2019 (3 updates tracked since 2019).

About Derek Ley Dpm NPPES

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

DEREK LEY DPM (NPI 1992157788) is an individual foot & ankle surgery provider in Austin, Texas, licensed in Texas (3122) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with North Austin Medical Center, and is a graduate of California School Of Podiatric Medicine (2016).

NPPES Registry Identity

NPI1992157788
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDEREK LEYCredential: DPM
Location Address12221 N MOPAC EXPYAustin, TX 78758-2401
Mailing Address12221 N Mopac ExpyAustin, TX 78758-2483 · (512) 901-4937 · Fax (855) 217-6283
Fax(512) 901-3935
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2016
Enumeration DateJuly 6, 2016
Last NPPES UpdateJanuary 5, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
NPI 1992157788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in TX · 3122
12221 N MOPAC EXPY, Austin, TX 78758

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 Ley Dpm 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 ID8224361928
PECOS Enrollment IDI20220121000523
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 13

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.
743 services249 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
205 services102 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
134 services34 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
118 services80 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.
115 services115 patients
Removal of skin of fingernail or toenail 11765
This procedure, called a nail avulsion, involves the removal of a fingernail or toenail's skin, usually due to an infection, injury, or abnormal growth. It's performed under local anesthesia to minimize discomfort, and promotes healthy nail regrowth and healing.
57 services31 patients

Hospital Affiliations CMS Care Compare

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

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
97%287 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%564 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier27 claims54 services$61.05 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier17 claims102 services$37.12 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier14 claims15 services$214.66 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 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Speech-Language Pathologist
12221 N MOPAC EXPY
AUSTIN, TX 78758
Occupational Therapist (Physical Rehabilitation)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Nurse Anesthetist, Certified Registered
12221 N MOPAC EXPY
AUSTIN, TX 78758
Emergency Medicine
12221 N MOPAC EXPY
AUSTIN, TX 78758
Internal Medicine (Interventional Cardiology)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Psychiatry & Neurology (Neurology)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Obstetrics & Gynecology
12221 N MOPAC EXPY
AUSTIN, TX 78758

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 Ley's NPI number?

The NPI number for Derek Ley is 1992157788. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Where is Derek Ley located?

Derek Ley practices at 12221 N Mopac Expy, Austin, TX 78758. The listed phone number is (512) 901-4015.

What is Derek Ley's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Derek Ley enrolled in Medicare?

Yes. Derek Ley 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 Ley accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Derek Ley 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 Ley affiliated with any hospitals?

According to CMS data, Derek Ley is affiliated with North Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Ley was last updated on January 5, 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.