MS. CAROL SUE CDEBACA PA-C
NPI 1154518900
Physician Assistant - Surgical in Chester, VA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since September 26, 2007PECOS Enrolled

12901 BRIGGS RD, CHESTER, VA 23831(804) 715-4709(804) 715-4709 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Carol Sue Cdebaca Pa-c NPPES

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

MS. CAROL SUE CDEBACA PA-C (NPI 1154518900) is an individual surgical provider in Chester, Virginia, licensed in Virginia (0110002628) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154518900

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMS. CAROL SUE CDEBACACredential: PA-C

Location Address12901 BRIGGS RDChester, VA 23831-5335

Mailing Address12901 Briggs RdChester, VA 23831-5335 · (804) 715-4709 · Fax (804) 715-4714

Phone(804) 715-4709

Fax(804) 715-4709

Sole ProprietorNo

Enumeration DateSeptember 26, 2007

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1154518900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in VA · 0110002628

12901 BRIGGS RD, Chester, VA 23831

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Other Identifiers 10

Other1154518900VA · Southern Health/carenet/carelink/coventry

OtherP01464014VA · Railroad Medicare

Other1154518900VA · Humana Medicare

Other540506332115VA · Tricare

Other1154518900VA · In Total

Other1154518900VA · Optima Health Plan

Other1154518900VA · Aetna

Other1154518900VA · Ccc Virginia Premier

Other1154518900VA · Medicaid Qmb

Other1154518900VA · Anthem Medigap

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Carol Sue Cdebaca Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone 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.

732 services76 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

144 services120 patients

Aspiration and/or injection of fluid from large joint 20610

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.

138 services102 patients

X-ray of knee, 3 views 73562

An 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.

65 services62 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327

Monovisc 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.

47 services33 patients

X-ray of shoulder, minimum of 2 views 73030

An 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.

26 services19 patients

Other Providers at the Same Location NPPES 13

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

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