Quick answers
- Does Derek R. Fletcher accept Medicare assignment?
- Yes. Medicare's clinician data says Derek R. Fletcher accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Derek R. Fletcher see?
- In 2024, CMS data shows 29 Original Medicare patients and 150 services for Derek R. Fletcher. This counts Original Medicare only and measures volume, not quality.
- What is Derek R. Fletcher's NPI number?
- 1427204098. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Derek R. Fletcher, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 29 |
|---|---|
| Services billed to Medicare | 150 |
| Different services or procedures | 32 |
| Participating Medicare provider | Yes |
| Average age of these patients | 71 |
Most frequent services
- New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more (99205)11 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- Cancer (breast, colorectal, lung, prostate, endometrial or leukemia/lymphoma)75%
- High cholesterol59%
- High blood pressure55%
- Arthritis45%
Hospitals where Derek R. Fletcher works
Medicare's Facility Affiliation Data lists Derek R. Fletcher at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Prov Sacred HRT Medical Center & Childs HospitalSpokane, WA · Acute Care Hospital · Medicare rating: 3 of 5 stars · Emergency services: listed by Medicare · CCN 500054
Practice locations
Addresses where Derek R. Fletcher is enrolled with Medicare (CMS data updated October 2, 2026).
- 530 S Cowley StSpokane, WA 99202 (509) 838‑1010
Group practices
Medicare enrollment lists Derek R. Fletcher as a member of this group (CMS data updated October 2, 2026).
- Plastic Surgery Northwest PLLC9 clinicians in the group
Specialties
Find other Plastic and Reconstructive Surgery doctors in Washington →
Other plastic surgeons in Spokane
Clinicians with the same Medicare primary specialty in Spokane, WA — not a recommendation.
Other clinicians in Plastic Surgery Northwest PLLC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Medical school | University Of Washington School Of Medicine |
| Graduation year | 2007 (19 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1427204098 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians