DERRICK BIELLER PA-C
NPI 1063982734
Physician Assistant in Fayetteville, NC

Q: What is Derrick Bieller's NPI number?

The NPI number for Derrick Bieller is 1063982734. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Q: What is Derrick Bieller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Derrick Bieller was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 26, 2018PECOS EnrolledAccepts Medicare Assignment

1340 WALTER REED RD STE 202, FAYETTEVILLE, NC 28304(910) 504-3506(910) 504-3507 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2022, Nov 26, 2018 (2 updates tracked since 2018).

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About Derrick Bieller Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK BIELLER PA-C (NPI 1063982734) is an individual physician assistant in Fayetteville, North Carolina, licensed in North Carolina (0010-12666) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sanford, and is a graduate of University Of Nebraska College Of Medicine (2018).

NPPES Registry Identity

NPI1063982734

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDERRICK BIELLERCredential: PA-C

Location Address1340 WALTER REED RD STE 202Fayetteville, NC 28304-4451

Mailing Address1340 Walter Reed Rd Ste 202Fayetteville, NC 28304-4451 · (910) 504-3506 · Fax (910) 504-3507

Phone(910) 504-3506

Fax(910) 504-3507

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2018

Enumeration DateNovember 26, 2018

Last NPPES UpdateOctober 1, 20252 updates tracked since enumeration

NPPES CertifiedOctober 1, 2025

✔ NPI 1063982734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-12666

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1340 WALTER REED RD STE 202, Fayetteville, NC 28304

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Secondary Practice Location 1

Location 11013 Carthage StSanford, NC 27330-4114 · Phone (919) 463-0021

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derrick Bieller Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163856089

PECOS Enrollment IDI20221220002305

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

599 services250 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

524 services229 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

186 services185 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

159 services135 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

80 services64 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PAMELA LYNN HERBIG WALL PMHNP

Nurse Practitioner (Psychiatric/Mental Health)