National Provider Identifier
Derrick Schutrum
Derrick Schutrum is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Depew, NY and a listed phone number of (716) 608-7040.
Source: public NPPES record, last updated June 09, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1295350940
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- June 09, 2020
- Last Updated
- June 09, 2020
Practice Location
- 4893 Transit RD
- Depew, NY 14043-4698
Phone: (716) 608-7040
Mailing Address
- 1961 Bush RD
- Grand Island, NY 14072-2915
Specialties
- Family Medicine Physician (207Q00000X)
- Physician Assistant (363A00000X)
Browse Similar Providers
See more Family Medicine providers in Depew, NY.
Medicare Part B Activity
Reported 133 Medicare fee-for-service service lines in 2023.
Peer comparison
Compared to Family Medicine providers in the Buffalo, NY metro area.
This provider is in the 19th percentile for Medicare service volume.
Lower volume than many peers.
Performs 58% fewer Medicare services than the peer median.
Higher than 53 of 272 peers.
- Activity Percentile
- 19.5%
- Rank by Services
- 218 of 272
- Total Services
- 133
- Est. Allowed Value
- $12,220.93
- Dataset Year
- 2023
- Drug Code Share
- 0.0%
Estimated allowed value reflects Medicare fee-for-service allowed amounts only. It does not include Medicare Advantage, commercial insurance, cash-pay services, or employment compensation.
Peers are grouped by the broader Family Medicine classification rather than the exact subspecialty label shown elsewhere on the page.
Percentile distribution
Each bar represents a 10-point percentile band of peers by total Medicare services for Family Medicine across the Buffalo, NY metro area. Taller bars indicate higher service-volume bands. Highlighted bar marks this provider's percentile band.
Observed service range: 11 to 6,036 total Medicare services.
Top Clinical Services
- 99213: Established patient office or other outpatient visit, 20-29 minutes
52 services | $3,741.55
- 99214: Established patient office or other outpatient visit, 30-39 minutes
41 services | $4,275.78
- G0439: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
40 services | $4,203.60
Biography
Derrick Schutrum, PA-C, is a New York physician assistant practicing outpatient primary care with Southgate Medical Group. Southgate notes that he graduated cum laude in 2019 from D’Youville College’s Bachelor of Science/Master of Science program in Physician Assistant Studies, is licensed in New York, and is certified in advanced cardiac life support. His clinical background includes outpatient primary care, with an emphasis on patient education, lifestyle modification, and addressing risk factors that affect overall health. (southgatemedicalgroup.com)
Full Record
- NPI
- 1295350940
- Entity Type
- Individual
- Last Name
- Schutrum
- First Name
- Derrick
- Mailing Street Address
- 1961 Bush RD
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-2915
- Mailing Country
- US
- Mailing Phone
- (716) 936-4334
- Practice Street Address
- 4893 Transit RD
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-4698
- Practice Country
- US
- Practice Phone
- (716) 608-7040
- Enumeration Date
- June 09, 2020
- Last Updated
- June 09, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 09, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Physician Assistant (363A00000X)