Samantha Derzon, MD
NPI 1053060939 · Family Medicine Physician · Provo, UT
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samantha Derzon, MD is a Family Medicine Physician provider in Provo, UT (NPI 1053060939).
Provider details
- NPI number
- 1053060939
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
4 yrs in NPPES registry
- Profile completeness33% of score
83% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Atorvastatin Calcium | 18 |
| Gabapentin | 18 |
| Alendronate Sodium | 11 |
| Famotidine | 11 |
| Lisinopril | 11 |
| Mirabegronbrand: Myrbetriq | 11 |
| Potassium Chloride | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 395 W Cougar Blvd Ste 205Provo, UT 84604-3328Phone: (801) 357-1770
Registry dates
- Enumerated
- 2022-03-19
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Frequently asked questions
- What is Samantha Derzon's NPI number?
- Samantha Derzon's National Provider Identifier (NPI) is 1053060939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Derzon's specialty?
- Samantha Derzon is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Samantha Derzon located?
- Samantha Derzon's practice location on file with NPPES is 475 W 940 N, Provo, UT 84604-3301.
- What is Samantha Derzon's phone number?
- The practice phone number listed in the NPPES registry for Samantha Derzon is (801) 357-7940.
- Does Samantha Derzon accept Medicare?
- Samantha Derzon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samantha Derzon's NPI active?
- Yes — Samantha Derzon's NPI (1053060939) is active in the NPPES registry as of the last update on 2025-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.