Derrick William Carpenter, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0008960 Issued in MD

Practice address

12414 Naves Crossroad NE
Cumberland, MD 21502

Phone

(240) 808-8482

NPI assigned

Apr 16, 2022

Sex

Male

Sole proprietor

Yes

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 MD

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Orthopedics and Sports MedicineGroup PAC ID 2860658192, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027

Merit-based Incentive Payment System (MIPS)

Final score

84.24 of 100Reported as group

Quality

75.4

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Precision Orthopedics and Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Laurel, MD
  • NPI 1962766899
  Medicare reassignment Care Compare group
• Mep Health, LLC

  • Emergency Medicine Physician
  • Rockville, MD
  • NPI 1164483558
  Medicare reassignment
• Precision Orthopedics and Sports Medicine

  • Foot & Ankle Surgery Podiatrist
  • Annapolis, MD
  • NPI 1285420836
  NPD
• Precision Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • La Plata, MD
  • NPI 1659113934
  NPD
• Up Orthopedics LLC

  • Orthopaedic Surgery Physician
  • Laurel, MD
  • NPI 1134672769
  NPD (past)

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

• Upmc Western Maryland Corporation

  • Mental Illness Community Based Residential Treatment Facility
  • Cumberland, MD
  • NPI 1174141592

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  • General Acute Care Hospital
  • Cumberland, MD
  • NPI 1609831247
  Care Compare affiliation
• Upmc Western Maryland Corporation

  • Hearing and Speech Clinic/Center
  • Cumberland, MD
  • NPI 1740969245

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  • Clinic/Center
  • Cumberland, MD
  • NPI 1780251850

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1650067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1790428894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 LAVALE CT",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027421",
            "telephone_number": "301-697-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12414 NAVES CROSSROAD NE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "240-808-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "DERRICK",
        "middle_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carepoint Response, Inc.
• David Thomas Carkin, PA-C
• Carlos S. Santiago III, MDPC
• Roy Jeffrey Carls, M.D.
• Annie Lee Carlton
• Judith Anne Carpenter, MA, LCPC
• Robert John Carpenter, MD
• Jennifer Dinnel Carter, MD
• Lisa Castleman, LCSWC
• John Nicholas Casto, MD

• Physician Assistant in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.