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DEREK JOSEPH FREESTONE PAC
NPI 1114178654
Physician Assistant - Surgical in Spartanburg, SC

Active since October 02, 2008PECOS EnrolledAccepts Medicare Assignment
1330 BOILING SPRINGS RD, SUITE 1600, SPARTANBURG, SC 29303(864) 582-6396(864) 542-2939 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Joseph Freestone Pac NPPES

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

DEREK JOSEPH FREESTONE PAC (NPI 1114178654) is an individual surgical provider in Spartanburg, South Carolina, licensed in South Carolina (1358) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1114178654
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDEREK JOSEPH FREESTONECredential: PAC
Location Address1330 BOILING SPRINGS RD, SUITE 1600Spartanburg, SC 29303-4201
Mailing Address1330 Boiling Springs Rd, Suite 1600Spartanburg, SC 29303-4201 · (864) 582-6396 · Fax (864) 542-2939
Phone(864) 582-6396
Fax(864) 542-2939
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 2, 2008
Last NPPES UpdateMay 7, 2025
NPPES CertifiedMay 7, 2025
✔ NPI 1114178654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in SC · 1358
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1358 (SC)
1330 BOILING SPRINGS RD, Spartanburg, SC 29303
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111402 Anderson RdGreenville, SC 29611-7557 · Phone (864) 990-1600 · Fax (864) 990-1601
Location 21298 Woodruff RdGreenville, SC 29607-5754 · Phone (864) 236-4700 · Fax (864) 236-4701

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 Joseph Freestone Pac 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 ID8921163106
PECOS Enrollment IDI20090223000523
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 11

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services102 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
96 services96 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
50 services49 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
34 services17 patients

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.

DAVID H WHITESIDE FNP
Nurse Practitioner
1330 BOILING SPRINGS RD, SUITE 2500
SPARTANBURG, SC 29303
Spartanburg County (864) 585-5433
CARDIOSOM, LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1330 BOILING SPRINGS RD, SUITE 2900
SPARTANBURG, SC 29303
Spartanburg County (864) 529-3460
SPARTANBURG REGIONAL MED CTR
Pediatrics
1330 BOILING SPRINGS RD, SUITE 1300
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6345
SPARTANBURG MEDICAL CENTER
Neuromusculoskeletal Medicine & OMM
1330 BOILING SPRINGS RD, SUITE 1800
SPARTANBURG, SC 29303
Spartanburg County (864) 560-9646
GREER GROUP PRACTICE, LLC
Obstetrics & Gynecology (Reproductive Endocrinology)
1330 BOILING SPRINGS RD, SUITE 2200
SPARTANBURG, SC 29303
Spartanburg County (864) 583-2669
ERNEST N MISTR MD
Pediatrics
1330 BOILING SPRINGS RD, SUITE 1300
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6345
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
Clinical Medical Laboratory
1330 BOILING SPRINGS RD
SPARTANBURG, SC 29303
Spartanburg County (864) 208-1126
LANDRIE FOX MORRIS PA
Physician Assistant (Surgical)
1330 BOILING SPRINGS RD, SUITE 1600
SPARTANBURG, SC 29303
Spartanburg County (864) 582-6396

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 Freestone's NPI number?

The NPI number for Derek Freestone is 1114178654. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Where is Derek Freestone located?

Derek Freestone practices at 1330 Boiling Springs Rd Suite 1600, Spartanburg, SC 29303. The listed phone number is (864) 582-6396.

What is Derek Freestone's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Derek Freestone enrolled in Medicare?

Yes. Derek Freestone 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.

When was this NPI record last updated?

The NPPES record for Derek Freestone was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.