MR. JAMES L DERRICK PA-C
NPI 1457459448
Physician Assistant - Surgical in Salem, VA

Q: What is James Derrick's NPI number?

The NPI number for James Derrick is 1457459448. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is James Derrick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for James Derrick was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1802 BRAEBURN DR, SALEM, VA 24153(540) 772-3530(540) 776-2036 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2022, Aug 15, 2018 (2 updates tracked since 2018).

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About Mr. James L Derrick Pa-c NPPES

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

MR. JAMES L DERRICK PA-C (NPI 1457459448) is an individual surgical provider in Salem, Virginia, licensed in Virginia (0110008289) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Lewisgale Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1457459448

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. JAMES L DERRICKCredential: PA-C

Location Address1802 BRAEBURN DRSalem, VA 24153-7357

Mailing Address2000 Health Park Dr Fl Hp2Brentwood, TN 37027-4692 · (615) 373-7600

Phone(540) 772-3530

Fax(540) 776-2036

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateSeptember 21, 2006

Last NPPES UpdateMarch 3, 20222 updates tracked since enumeration

NPPES CertifiedMarch 3, 2022

✔ NPI 1457459448 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 · 0110008289

1802 BRAEBURN DR, Salem, VA 24153

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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 and accepts Medicare assignment

Mr. James L Derrick 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 ID2860590304

PECOS Enrollment IDI20220210002853

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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

29 services28 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490048

Location1900 Electric RoadSalem, VA 24153 · Salem City County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

1 supplier17 claims17 services$40.07 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 20

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

DR. ANDREW MAIOLO MD

Internal Medicine (Cardiovascular Disease)