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MR. DERRICK BOYD PA
NPI 1962668657
Physician Assistant in Philadelphia, PA

Active since August 01, 2008PECOS Enrolled
561 FAIRTHORNE AVE., FAIRMOUNT BEHAVIORAL HEALTH SYSTEM, PHILADELPHIA, PA 19128(215) 582-3405 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Derrick Boyd Pa NPPES

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

MR. DERRICK BOYD PA (NPI 1962668657) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA003235L) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962668657
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DERRICK BOYDCredential: PA
Location Address561 FAIRTHORNE AVE., FAIRMOUNT BEHAVIORAL HEALTH SYSTEMPhiladelphia, PA 19128
Mailing Address561 Fairthorne Ave, Fairmount Behavioral Health SystemPhiladelphia, PA 19128 · Fax (267) 582-3405
Phone(215) 582-3405
Sole ProprietorYes
Enumeration DateAugust 1, 2008
Last NPPES UpdateMay 1, 2015
✔ NPI 1962668657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA003235L
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA003235L (PA)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License MA003235L (PA)
561 FAIRTHORNE AVE., Philadelphia, PA 19128
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Other Names 1

Professional Name (2)Mr. Derrick Boyd P.a.-c

Other Identifiers 1

Medicare PIN394797P4RPA

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. Derrick Boyd 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 19128 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 Derrick Boyd's NPI number?

The NPI number for Derrick Boyd is 1962668657. It was assigned to this individual provider in the NPPES registry on August 1, 2008. The provider is also known as Mr. Derrick Boyd P.A.-C.

Where is Derrick Boyd located?

Derrick Boyd practices at 561 Fairthorne Ave. Fairmount Behavioral Health System, Philadelphia, PA 19128. The listed phone number is (215) 582-3405.

What is Derrick Boyd's specialty?

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

Is Derrick Boyd enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Derrick Boyd was last updated on May 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.