ELLIOT DERRICOTTE PA
NPI 1467083402
Physician Assistant - Medical in Springfield, MA

Q: What is Elliot Derricotte's NPI number?

The NPI number for Elliot Derricotte is 1467083402. It was assigned to this individual provider in the NPPES registry on January 29, 2020.

Q: What is Elliot Derricotte's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elliot Derricotte was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 29, 2020PECOS EnrolledAccepts Medicare Assignment

759 CHESTNUT ST, SPRINGFIELD, MA 01199(413) 794-6297(413) 794-1767 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2020, Jan 29, 2020 (2 updates tracked since 2020).

On this page

About Elliot Derricotte Pa NPPES

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

ELLIOT DERRICOTTE PA (NPI 1467083402) is an individual medical provider in Springfield, Massachusetts, licensed in Massachusetts (PA7519) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Baystate Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1467083402

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameELLIOT DERRICOTTECredential: PA

Location Address759 CHESTNUT STSpringfield, MA 01199-1001

Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1001 · (413) 794-5700

Phone(413) 794-6297

Fax(413) 794-1767

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 29, 2020

Last NPPES UpdateJune 18, 20202 updates tracked since enumeration

NPPES CertifiedJune 18, 2020

✔ NPI 1467083402 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 MA · PA7519

759 CHESTNUT ST, Springfield, MA 01199

Open in Google Maps ↗

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

Elliot Derricotte Pa 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 ID6901237221

PECOS Enrollment IDI20200520001561

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 moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

199 services197 patients

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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baystate Medical Center

Acute Care Hospitals · Springfield, MA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220077

Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County

Emergency services Birthing friendly

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.

DENNIS ZAMBRANO

Student in an Organized Health Care Education/Training Program

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-0000

CHARLES E BROWN

Nurse Anesthetist, Certified Registered

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-3520

RAISA KHAN

Student in an Organized Health Care Education/Training Program

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-0000

VICTORIA YOUNES

Student in an Organized Health Care Education/Training Program

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (418) 794-0000

MR. ROBERT J RUSSELL PCNS

Clinical Nurse Specialist (Psychiatric/Mental Health)

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-3376

DR. BENJAMIN J BARNES MD

Psychiatry & Neurology (Neurology)

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-4440

BAYSTATE MEDICAL CENTER INC

Pharmacy (Community/Retail Pharmacy)

759 CHESTNUT ST, DALY 3 PHARMACY
SPRINGFIELD, MA 01199

Hampden County (413) 794-3291

JEFFREY WALBRIDGE DO

Pediatrics

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-0000

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 Elliot Derricotte's NPI number?

The NPI number for Elliot Derricotte is 1467083402. It was assigned to this individual provider in the NPPES registry on January 29, 2020.

Where is Elliot Derricotte located?

Elliot Derricotte practices at 759 Chestnut St, Springfield, MA 01199. The listed phone number is (413) 794-6297.

What is Elliot Derricotte's specialty?

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

Is Elliot Derricotte enrolled in Medicare?

Yes. Elliot Derricotte 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.

Is Elliot Derricotte affiliated with any hospitals?

According to CMS data, Elliot Derricotte is affiliated with Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Elliot Derricotte was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.