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MR. JAMES QUINCEY DERRICK PA
NPI 1346471802
Physician Assistant in Tierra Amarilla, NM

Active since July 31, 2009PECOS Enrolled
CR 0324 HWY 84 N #14, TIERRA AMARILLA, NM 87575(575) 588-7252(575) 588-9132 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. James Quincey Derrick Pa NPPES

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

MR. JAMES QUINCEY DERRICK PA (NPI 1346471802) is an individual physician assistant in Tierra Amarilla, New Mexico, licensed in New Mexico (PA2009-0016) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346471802
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JAMES QUINCEY DERRICKCredential: PA
Location AddressCR 0324 HWY 84 N #14Tierra Amarilla, NM 87575
Mailing AddressPo Box 250Tierra Amarilla, NM 87575-0250 · (575) 588-7252 · Fax (575) 588-9132
Phone(575) 588-7252
Fax(575) 588-9132
Sole ProprietorNo
Enumeration DateJuly 31, 2009
Last NPPES UpdateAugust 22, 2011
✔ NPI 1346471802 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 NM · PA2009-0016
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.
CR 0324 HWY 84 N #14, Tierra Amarilla, NM 87575
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. James Quincey Derrick Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87575 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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 James Derrick's NPI number?

The NPI number for James Derrick is 1346471802. It was assigned to this individual provider in the NPPES registry on July 31, 2009.

Where is James Derrick located?

James Derrick practices at Cr 0324 Hwy 84 N #14, Tierra Amarilla, NM 87575. The listed phone number is (575) 588-7252.

What is James Derrick's specialty?

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

Is James Derrick enrolled in Medicare?

Yes. James Derrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Derrick was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.