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DEREK JOHN BUCHANAN PA
NPI 1104379502
Physician Assistant in Charlotte, NC

Active since August 02, 2016PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
501 BILLINGSLEY RD, STE B, CHARLOTTE, NC 28211(704) 444-2400 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 52 more (55 updates tracked since 2017).

About Derek John Buchanan Pa NPPES

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

DEREK JOHN BUCHANAN PA (NPI 1104379502) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-06592) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104379502
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDEREK JOHN BUCHANANCredential: PA
Location Address501 BILLINGSLEY RD, STE BCharlotte, NC 28211-1009
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 444-2400
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 2, 2016
Last NPPES UpdateJuly 15, 202455 updates tracked since enumeration
✔ NPI 1104379502 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 · 0010-06592
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.
501 BILLINGSLEY RD, Charlotte, NC 28211
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Secondary Practice Locations 3

Location 1706 W King StKings Mountain, NC 28086-2708 · Phone (980) 487-5470
Location 216740 Davidson Concord RdDavidson, NC 28036-8746 · Phone (704) 444-2400
Location 35427 Nc Highway 49 S, Ste 105Harrisburg, NC 28075-7408 · Phone (704) 454-7268

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and more.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

Derek John Buchanan Pa 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 ID9931487436
PECOS Enrollment IDI20161104000404
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

STEPHANIE FRANCIS NEWBY MD
Psychiatry & Neurology (Addiction Medicine)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
BORIS MAXIMOVICH KISELEV MD
Internal Medicine
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
NEISHA PETTAWAY LCMHCA
Counselor (Mental Health)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
MRS. ROSE K CHIN RPH
Pharmacist
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2862
HRISTOS CHRISTOPHER KARANIKAS MD
Psychiatry & Neurology (Psychiatry)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
DR. TERESA KATHRYN HOSKINS DO, MPH, CPH
Student in an Organized Health Care Education/Training Program
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
TIMOTHY COOPER KING MD
Psychiatry & Neurology (Psychiatry)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
DAVID FRANKLIN TAYLOR PHARMD
Pharmacist
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2862

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Buchanan's NPI number?

The NPI number for Derek Buchanan is 1104379502. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Where is Derek Buchanan located?

Derek Buchanan practices at 501 Billingsley Rd Ste B, Charlotte, NC 28211. The listed phone number is (704) 444-2400.

What is Derek Buchanan's specialty?

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

Is Derek Buchanan enrolled in Medicare?

Yes. Derek Buchanan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Derek Buchanan accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Derek Buchanan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Buchanan was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.