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DERRIK HOLLADAY PA-C
NPI 1245730647
Physician Assistant in Front Royal, VA

Active since February 13, 2018PECOS EnrolledAccepts Medicare Assignment
65 RIVERTON COMMONS DR, FRONT ROYAL, VA 22630(540) 635-0700 Get Directions Write a Review

NPPES record last updated: February 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2021, Feb 16, 2018 (2 updates tracked since 2018).

About Derrik Holladay Pa-c NPPES

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

DERRIK HOLLADAY PA-C (NPI 1245730647) is an individual physician assistant in Front Royal, Virginia, licensed in Virginia (0110006089) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Shenandoah Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1245730647
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDERRIK HOLLADAYCredential: PA-C
Location Address65 RIVERTON COMMONS DRFront Royal, VA 22630-6768
Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2896 · (540) 536-5100
Phone(540) 635-0700
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 13, 2018
Last NPPES UpdateFebruary 28, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2021
✔ NPI 1245730647 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 VA · 0110006089
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.
65 RIVERTON COMMONS DR, Front Royal, VA 22630
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1160 Merchant St Ste 200Winchester, VA 22603-4772 · Phone (540) 536-5950
Location 2607 E Jubal Early DrWinchester, VA 22601-5178 · Phone (540) 536-2232
Location 333820 Old Valley Pike Ste 2Strasburg, VA 22657-3793 · Phone (540) 459-1310
Location 4415A South StFront Royal, VA 22630-2115 · Phone (540) 636-0495

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Derrik Holladay 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 ID7012270168
PECOS Enrollment IDI20180424001693
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.
70 services69 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.
60 services30 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.
32 services32 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
30 services30 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.
20 services20 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22630 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 6

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

BRIDGET M HICKSON NP
Nurse Practitioner (Family)
65 RIVERTON COMMONS DR
FRONT ROYAL, VA 22630
Warren County (540) 635-0700
REBECCA L POTTERTON
Nurse Practitioner (Family)
65 RIVERTON COMMONS DR
FRONT ROYAL, VA 22630
Warren County (540) 636-0700
SINEAD DEIRDRE ARNDT PA
Physician Assistant
65 RIVERTON COMMONS DR
FRONT ROYAL, VA 22630
Warren County (540) 635-7000
KATE JONES PA
Physician Assistant
65 RIVERTON COMMONS DR
FRONT ROYAL, VA 22630
Warren County (540) 635-0700
MS. CHINOR FATTAHI FNP
Nurse Practitioner (Family)
65 RIVERTON COMMONS DR
FRONT ROYAL, VA 22630
Warren County (540) 635-0700
KEVIN C BARNEY PA-C
Physician Assistant
65 RIVERTON COMMONS DR
FRONT ROYAL, VA 22630
Warren County (540) 635-0700

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 Derrik Holladay's NPI number?

The NPI number for Derrik Holladay is 1245730647. It was assigned to this individual provider in the NPPES registry on February 13, 2018.

Where is Derrik Holladay located?

Derrik Holladay practices at 65 Riverton Commons Dr, Front Royal, VA 22630. The listed phone number is (540) 635-0700.

What is Derrik Holladay's specialty?

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

Is Derrik Holladay enrolled in Medicare?

Yes. Derrik Holladay 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 Derrik Holladay accept?

Health plans from CareSource list Derrik Holladay 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.

Is Derrik Holladay affiliated with any hospitals?

According to CMS data, Derrik Holladay is affiliated with Shenandoah Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Derrik Holladay was last updated on February 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.