Plast Reconstr Surg Glob Open
Dr. Derek Ryan Fletcher, MD
NPI1427204098PAC ID6507149812
- Medicare services, 2024
- 11
- Medicare patients, 2024
- 29
- Part D claims, 2024
- 97
- Publications
- 5
- Hospital affiliations
- 1
- Practice address
- 101 W 8th Ave, Spokane, WA 99204
- Practice phone
- Call (509) 474-7370
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Incyte Pathology - Sacred Heart Medical Center Branch
Clinical Lab - Full Service · Spokane, Washington
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Dr. Derek Ryan Fletcher is a plastic surgeon in Spokane, Washington
Dr. Fletcher practices at Incyte Pathology - Sacred Heart Medical Center Branch in Spokane, Washington.
Dr. Fletcher's NPI, 1427204098, was assigned on August 14, 2008. Dr. Fletcher graduated from University of Washington School of Medicine in 2007. Dr. Fletcher holds Washington license MD60865626.
NPI and contact details
- NPI
- 1427204098NPI Registry (opens in a new tab)
- Medicare PAC ID
- 6507149812
- NPI enumeration date
- August 14, 2008
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (509) 474-7370
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 45
- Medical school graduation
- 2007
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Derek Ryan Fletcher practices at Incyte Pathology - Sacred Heart Medical Center Branch in Spokane, Washington
Dr. Fletcher's primary practice is Incyte Pathology - Sacred Heart Medical Center Branch, at 101 W 8th Ave, Spokane, WA 99204. The practice phone is (509) 474-7370.
- Incyte Pathology - Sacred Heart Medical Center Branch101 W 8th Ave, Spokane, WA 99204Phone(509) 474-7370
Source: Dmand AI Affiliation Data
Dr. Derek Ryan Fletcher is affiliated with 3 sites of care and 1 medical group
Dr. Fletcher's primary practice is Incyte Pathology - Sacred Heart Medical Center Branch in Spokane, Washington. Dr. Fletcher is also affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp. The medical group on file is Plastic Surgery Northwest. Dmand AI also links Dr. Fletcher to 1 more group practice or clinic, named with a free account.
Incyte Pathology - Sacred Heart Medical Center BranchPrimary
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Derek Ryan Fletcher's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Fletcher practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Incyte Pathology - Sacred Heart Medical Center Branch | Available with a free account |
| +2 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Derek Ryan Fletcher is one of 69 plastic surgeons in Washington
Plastic surgery is Dr. Fletcher's primary specialty in the NPI Registry, under taxonomy code 208200000X. Dmand AI has Dr. Fletcher's licenses on file in 2 states: Washington and Pennsylvania.
Specialties and state licenses
- Plastic surgery, WashingtonPrimary
- Plastic surgery within the head and neck (plastic surgery), Pennsylvania
Plastic surgeons near Dr. Fletcher
Counts of plastic surgeons with a Dmand AI profile, by place and practice. Each opens the list.
69plastic surgeons in Washington
5plastic surgeons in Spokane
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Derek Ryan Fletcher billed Medicare for 11 services in 2024
CMS data shows 11 Medicare services from Dr. Fletcher across 1 procedure code in 2024, all of them office visits, for 29 Medicare patients. Medicare paid $1,915 for them. Every service was in an office.
Medicare services, 202411
Medicare patients29
Paid by Medicare$1,915
Procedure codes1
Dr. Fletcher's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 352024: 1169%
- Surgery
- 2023: 132024: 0100%
Dr. Fletcher compared with the Washington median for plastic surgeons, 2024
- Dr. Fletcher
- Washington median
- Medicare services
- 11vs 3367% below
- Medicare patients
- 29vs 3415% below
- Part D claims
- 52vs 252.1 times
Medians across 62 plastic surgeons in Washington with Dmand AI profiles that report each measure.
Dr. Fletcher's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Fletcher?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Fletcher and other plastic surgeons in Washington.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Derek Ryan Fletcher treated 29 Medicare patients in 2024, average age 71
CMS counts 29 Medicare patients who saw Dr. Fletcher in 2024. 75% of them have cancer, and 59% have high cholesterol. Their average risk score is 0.94, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Fletcher's median patient age at 56, with 92% women.
Medicare patients, 202429
Average age71
Average risk score0.94
Chronic conditions among Dr. Fletcher's Medicare patients, 2024
- Cancer75%
- High cholesterol59%
- High blood pressure55%
- Arthritis45%
Share of Medicare patients with each condition. A patient can have several.
Dr. Fletcher's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 56
Patient panel by sex, all payers
- Women92%
- Men7%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Derek Ryan Fletcher wrote 97 Medicare Part D claims in 2024
In 2024, Dr. Fletcher wrote 97 Medicare Part D claims for 28 patients. 98% of them were for generic drugs. CMS names the drug for 52 of them, across 2 drugs with 11 or more claims each, at $578 in total drug cost. In 2023, CMS named 59 claims across 2 drugs.
Part D claims, 202497
Drugs named by CMS2
Total drug cost$578
Part D patients28
Dr. Fletcher's Part D claims by kind of drug, 2024
- Generic95 claims98%
- Brand-name and other2 claims2%
Dr. Fletcher's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Fletcher's Part D claims, 2024
- Opioids33%32 of 97 claims
- Antibiotics19%18 of 97 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 592024: 5212%
Drugs named by CMS: 2 in 2024, 2 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Derek Ryan Fletcher ranks in the 86th percentile for mastectomy in Medicare
Dr. Fletcher accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 30 procedures of mastectomy by Dr. Fletcher, more than 86% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Where Dr. Fletcher ranks in Medicare procedure volume
- Mastectomy
- 86th percentile30 procedures
- Removal of tissue
- 63rd percentile12 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Melanoma (skin cancer) excision: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)
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Dr. Derek Ryan Fletcher has 5 publications on record
Dmand AI links 5 papers to Dr. Fletcher, published from 2016 to 2020. Dr. Fletcher's most frequent co-authors are Vijay S. Gorantla, MD, PhD, Sahil Bakshi, DO and Joseph Losee.
Papers5
Years published2016 to 2020
Dr. Fletcher's papers by year, 2016 to 2020
Dr. Fletcher's most frequent co-authors
- Vijay S. Gorantla, MD, PhD2 shared papers
- Sahil Bakshi, DO1 shared paper
- Joseph Losee1 shared paper
Recent publications by Dr. Fletcher
J Craniofac Surg
Adaptation, PsychologicalAttitude to HealthDiagnostic Tests, Routine
Plast Reconstr Surg
Abdominal WallFeasibility StudiesGraft Rejection
See who Dr. Fletcher researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Fletcher works with, so you can find a warm path to the right plastic surgeons.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Derek Ryan Fletcher received $2,716 in industry payments from 2016 to 2025
CMS Open Payments shows 55 general payments to Dr. Fletcher from 10 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 76% of the total. Davol Inc. paid the most, $1,063.
General payments to Dr. Fletcher by program year, 2016 to 2025
General payments to Dr. Fletcher by kind, 2016 to 2025
$2.7Kin total
- Food and beverage$2,05676%
- Travel and lodging$65224%
- Education$80%
Companies that paid Dr. Fletcher the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Derek Ryan Fletcher graduated from University of Washington School of Medicine
Dr. Fletcher graduated from University of Washington School of Medicine in 2007.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Derek Ryan Fletcher's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Derek Ryan Fletcher
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Derek Ryan Fletcher's NPI number?
Dr. Derek Ryan Fletcher's NPI number is 1427204098. It was assigned on August 14, 2008, and it is active in the NPI Registry.
What kind of doctor is Dr. Derek Ryan Fletcher?
Dr. Derek Ryan Fletcher is a plastic surgeon in Spokane, Washington. The primary specialty in the NPI Registry is Plastic Surgery Physician (taxonomy code 208200000X).
Where does Dr. Derek Ryan Fletcher practice?
Dr. Fletcher practices at 101 W 8th Ave, Spokane, WA 99204. Dr. Fletcher's primary practice is Incyte Pathology - Sacred Heart Medical Center Branch in Spokane, Washington. Dmand AI also links Dr. Fletcher to 1 group practice or clinic.
What is Dr. Derek Ryan Fletcher's office phone number?
The practice phone on file for Dr. Fletcher is (509) 474-7370.
What is Dr. Derek Ryan Fletcher's medical license number?
Dr. Fletcher holds Washington license MD60865626, one of the licenses on file in 2 states.
Which states has Dr. Derek Ryan Fletcher been licensed in?
Dmand AI has state licenses on file for Dr. Fletcher in Washington and Pennsylvania.
Which hospitals is Dr. Derek Ryan Fletcher affiliated with?
Dr. Fletcher is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp.
What medical group is Dr. Derek Ryan Fletcher part of?
Dr. Fletcher is linked to Plastic Surgery Northwest.
Does Dr. Derek Ryan Fletcher accept Medicare?
Yes. CMS data shows Dr. Fletcher billed Medicare for 11 services in 2024, and Dr. Fletcher accepts Medicare assignment.
How many Medicare patients does Dr. Derek Ryan Fletcher see?
CMS counts 29 Medicare patients who saw Dr. Fletcher in 2024, with an average age of 71.
Show 7 more questionsShow fewer questions
What services does Dr. Derek Ryan Fletcher bill to Medicare?
In 2024, Dr. Fletcher's most billed Medicare services were office visit, new patient (99205).
Where did Dr. Derek Ryan Fletcher go to medical school?
Dr. Fletcher graduated from University of Washington School of Medicine in 2007.
What drugs does Dr. Derek Ryan Fletcher prescribe most?
In 2024 Medicare Part D data, Dr. Fletcher's most prescribed drugs by claims were Ondansetron ODT and Oxycodone HCl.
Has Dr. Derek Ryan Fletcher received payments from drug or device companies?
CMS Open Payments shows $2,716 in general payments to Dr. Fletcher from 10 companies from 2016 to 2025. The largest total came from Davol Inc.
How long has Dr. Derek Ryan Fletcher been practicing?
Dr. Fletcher graduated from medical school in 2007, 19 years ago.
Does Dr. Derek Ryan Fletcher do research?
Dmand AI links 5 publications to Dr. Fletcher, published from 2016 to 2020.
Who does Dr. Derek Ryan Fletcher publish with?
Dr. Fletcher's most frequent co-authors are Vijay S. Gorantla, MD, PhD (2 shared papers), Sahil Bakshi, DO (1 shared paper) and Joseph Losee (1 shared paper).
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