Derral Hawthorne, PA-C
NPI 1295169001 · Physician Assistant · Gold Beach, OR
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derral Hawthorne, PA-C is a Physician Assistant provider in Gold Beach, OR (NPI 1295169001).
Provider details
- NPI number
- 1295169001
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA191287 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
345 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 103 | $103 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 96 | $106 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 73 | $13 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 44 | $73 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Tracing93005 | 18 | $6 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 103 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 215 | 64 |
| Lisinopril | 160 | 41 |
| Metoprolol Succinate | 126 | 33 |
| Levothyroxine Sodium | 125 | 26 |
| Amlodipine Besylate | 121 | 38 |
| Omeprazole | 118 | 27 |
| Furosemide | 111 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$118 across 6 records (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
Registry dates
- Enumerated
- 2013-08-28
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Frequently asked questions
- What is Derral Hawthorne's NPI number?
- Derral Hawthorne's National Provider Identifier (NPI) is 1295169001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derral Hawthorne's specialty?
- Derral Hawthorne is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Derral Hawthorne located?
- Derral Hawthorne's practice location on file with NPPES is 94180 2nd St, Gold Beach, OR 97444-8733.
- What is Derral Hawthorne's phone number?
- The practice phone number listed in the NPPES registry for Derral Hawthorne is (541) 247-7047.
- Does Derral Hawthorne accept Medicare?
- Derral Hawthorne is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derral Hawthorne's NPI active?
- Yes — Derral Hawthorne's NPI (1295169001) is active in the NPPES registry as of the last update on 2025-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.