MR. DERRICK M ROBINSON PHYSICIAN ASSISTANT
NPI 1669518379
Physician Assistant in Pawtucket, RI

Q: What is Derrick Robinson's NPI number?

The NPI number for Derrick Robinson is 1669518379. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Derrick Robinson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derrick Robinson was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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, 2007PECOS EnrolledAccepts Medicare Assignment

407 EAST AVE STE 110, PAWTUCKET, RI 02860(401) 725-4700 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2025, May 6, 2022 (2 updates tracked since 2022).

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About Mr. Derrick M Robinson Physician Assistant NPPES

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

MR. DERRICK M ROBINSON PHYSICIAN ASSISTANT (NPI 1669518379) is an individual physician assistant in Pawtucket, Rhode Island, licensed in Rhode Island (PA00050-G) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1669518379

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. DERRICK M ROBINSONCredential: PHYSICIAN ASSISTANT

Location Address407 EAST AVE STE 110Pawtucket, RI 02860-5299

Mailing Address407 East Ave Ste 110Pawtucket, RI 02860-5299 · (401) 725-4700 · Fax (401) 725-4740

Phone(401) 725-4700

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJanuary 29, 2007

Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration

NPPES CertifiedNovember 14, 2025

✔ NPI 1669518379 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 RI · PA00050-G

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.

407 EAST AVE STE 110, Pawtucket, RI 02860

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Other Identifiers 10

Other1669518379RI · Neighborhoodhealthplan

Other329596RI · Bluecrossblueshield

Medicaid1669518379RI

Other414224RI · Bluechip

Other1669518379RI · Hphc

Other1669518379RI · Cigna

Other941024RI · Tufts

Other1669518379RI · Champus

Other1669518379RI · Aetna

Other6495796RI · Unitedhealthcare

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. Derrick M Robinson Physician Assistant 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 ID8224136684

PECOS Enrollment IDI20070607000656

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 5

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.

121 services93 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.

94 services64 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

43 services25 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.

29 services29 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

25 services24 patients

Hospital Affiliations CMS Care Compare

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

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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 7

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

KATHERINE ROSE MAIORISI PA-C

Physician Assistant