Derrick Thomas, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA057041 Issued in PA

Practice address

22 Industrial Park Rd
Brookville, PA 15825-7228

Phone

(814) 849-0990

NPI assigned

Oct 2, 2014

Last updated

Jun 8, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164

Merit-based Incentive Payment System (MIPS)

Final score

83.75 of 100Reported as group

Quality

70.53

Promoting interoperability

100

Improvement activities

40

Cost

75.31

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: derrick.p.thomas@upmcdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upmc Community Medicine, Inc

  dba Stull, Jarvis and Spinola Internal Medicine Associates - UPMC

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1558976092
  Medicare reassignment Care Compare group
• Brookville Hospital

  dba Brookville Physicians

  • Multi-Specialty Clinic/Center
  • Brookville, PA
  • NPI 1578733093
  Medicare reassignment NPD
• Brookville Hospital

  dba Penn Highlands Brookville

  • Rural Health Clinic/Center
  • Brookville, PA
  • NPI 1184333742
  NPD
• Upmc Community Medcine Inc

  dba Hermitage Family Practice - UPMC

  • Family Medicine Physician
  • Hermitage, PA
  • NPI 1023806676
  NPD
• Upmc Community Medicine Inc

  • Family Medicine Physician
  • White Oak, PA
  • NPI 1912457185
  NPD
• Upmc Community Medicine Inc

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1588622294
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Presbyterian Shadyside

  • Ambulatory Surgical Clinic/Center
  • Pittsburgh, PA
  • NPI 1144384082

  Hospital

  Care Compare affiliation
• Upmc Presbyterian Shadyside

  • Methadone Clinic
  • Pittsburgh, PA
  • NPI 1518089200

  Hospital

  Care Compare affiliation
• Upmc Presbyterian Shadyside

  • Psychiatric Hospital Unit
  • Pittsburgh, PA
  • NPI 1750390134
  Care Compare affiliation
• Upmc Presbyterian Shadyside

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1821007881
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1437552601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 INDUSTRIAL PARK RD",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158257228",
            "telephone_number": "814-849-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 INDUSTRIAL PARK RD",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158257228",
            "telephone_number": "814-849-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DERRICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-02",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Pulmonary, PC
• Thad Robert Swales, D.C.
• Denny Tang, MD
• Janell Tansey
• Reed Terwilliger
• Thomas N Thomas, CRNA
• Justine Marie Toven, PA-C
• Stewart D Vanhorn, M.D.
• Lisa M Vivian, PA
• Brian F Wallace, DC

• Medical Physician Assistant in Brookville, PA
• Providers in Brookville, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.