MS. CAROL SUE CDEBACA PA-C
NPI 1154518900
Physician Assistant - Surgical in Chester, VA
NPI Status: Active since September 26, 2007
Contact Information
12901 BRIGGS RD
CHESTER, VA
ZIP 23831
Phone: (804) 715-4709
Fax: (804) 715-4709
- Individual
- Female
- Physician Assistant
- Surgical
- PECOS Enrolled
About CAROL CDEBACA
This page provides the complete NPI Profile along with additional information for Carol Cdebaca, a provider established in Chester, Virginia with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1154518900 assigned on September 2007. The practitioner's primary taxonomy code is 363AS0400X with license number 0110002628 (VA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1154518900
- Provider Name
- MS. CAROL SUE CDEBACA PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 12901 BRIGGS RD CHESTER, VA 23831
- Location Phone
- (804) 715-4709
- Location Fax
- (804) 715-4709
- Mailing Address
- 12901 BRIGGS RD CHESTER, VA 23831
- Mailing Phone
- (804) 715-4709
- Mailing Fax
- (804) 715-4709
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-26-2007
- Last Update Date
- 04-23-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 0110002628
- License State
- VA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1154518900 | OTHER (01) | VA | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
| P01464014 | OTHER (01) | VA | RAILROAD MEDICARE |
| 1154518900 | OTHER (01) | VA | HUMANA MEDICARE |
| 540506332115 | OTHER (01) | VA | TRICARE |
| 1154518900 | OTHER (01) | VA | IN TOTAL |
| 1154518900 | OTHER (01) | VA | OPTIMA HEALTH PLAN |
| 1154518900 | OTHER (01) | VA | AETNA |
| 1154518900 | OTHER (01) | VA | CCC VIRGINIA PREMIER |
| 1154518900 | OTHER (01) | VA | MEDICAID QMB |
| 1154518900 | OTHER (01) | VA | ANTHEM MEDIGAP |
Medicare Participation & PECOS Enrollment Status
Carol Cdebaca is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid from large joint
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
New patient office or other outpatient visit, 45-59 minutes
X-ray of hip, 2-3 views
X-ray of knee, 3 views
X-ray of shoulder, minimum of 2 views
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 138 times for 102 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 20 times for 20 patientsThis 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.
This service was performed 144 times for 120 patientsThis 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.
This service was performed 25 times for 24 patientsMonovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.
This service was performed 47 times for 33 patientsTriamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
This service was performed 732 times for 76 patientsThis 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.
This service was performed 23 times for 23 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 17 times for 16 patientsAn X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
This service was performed 65 times for 62 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 26 times for 19 patientsReviews for MS. CAROL SUE CDEBACA PA-C
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154518900, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
CHESTER, VA 23831
CHESTER, VA 23831
CHESTER, VA 23831
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154518900, enumerated as an "individual" on September 26, 2007.
The provider is located at 12901 BRIGGS RD CHESTER, VA 23831 and the phone number is (804) 715-4709.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare, Humana,. Please consult your insurance carrier or call the provider to verify.