DEREK EDDIE PA-C
NPI 1346375367
Physician Assistant - Medical in Pocatello, ID

Active since February 22, 2007PECOS EnrolledAccepts Medicare Assignment
560 MEMORIAL DR, POCATELLO, ID 83201(208) 234-1960(208) 233-5033 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derek Eddie Pa-c NPPES

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

DEREK EDDIE PA-C (NPI 1346375367) is an individual medical provider in Pocatello, Idaho, licensed in Idaho (PA-662) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1346375367
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDEREK EDDIECredential: PA-C
Location Address560 MEMORIAL DRPocatello, ID 83201-4073
Mailing Address560 Memorial DrPocatello, ID 83201-4073 · (208) 234-1960 · Fax (208) 233-5033
Fax(208) 233-5033
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1346375367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ID · PA-662
560 MEMORIAL DR, Pocatello, ID 83201

Accepted 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 Eddie 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 ID6709978265
PECOS Enrollment IDI20070828001107
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 9

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 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.
145 services81 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
113 services83 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
87 services67 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 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.
47 services40 patients
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.
40 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers15 claims15 services$42.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Physical Therapist
560 MEMORIAL DR, SUITE C
POCATELLO, ID 83201
Orthopaedic Surgery (Sports Medicine)
560 MEMORIAL DR
POCATELLO, ID 83201
Speech-Language Pathologist
560 MEMORIAL DR, STE C
POCATELLO, ID 83201
Orthopaedic Surgery
560 MEMORIAL DR
POCATELLO, ID 83201
Physical Therapy Assistant
560 MEMORIAL DR, SUITE C
POCATELLO, ID 83201
Clinic/Center (Multi-Specialty)
560 MEMORIAL DR
POCATELLO, ID 83201
Durable Medical Equipment & Medical Supplies
560 MEMORIAL DR
POCATELLO, ID 83201
Physician Assistant (Surgical)
560 MEMORIAL DR
POCATELLO, ID 83201

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 Eddie's NPI number?

The NPI number for Derek Eddie is 1346375367. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Derek Eddie located?

Derek Eddie practices at 560 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 234-1960.

What is Derek Eddie's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Derek Eddie enrolled in Medicare?

Yes. Derek Eddie 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 Eddie accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Derek Eddie 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 Derek Eddie affiliated with any hospitals?

According to CMS data, Derek Eddie is affiliated with Portneuf Medical Center and Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Derek Eddie was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.