DEREK B CARPENTER (PA-C) – Medical Physician Assistant, NPI 1114320959
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,726 PHYSICIAN ASSISTANT in AZ
Provider Addresses for DEREK B CARPENTER (PA-C)
PO BOX 10097
CASA GRANDE, AZ 851300020
Phone: (520) 350-7651
Type: Mailing
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Phone: (520) 836-3446
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $140.
Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Dexcom, Inc. ($41).
Total Amount
$140
General + Research + Ownership
Payments
7
Total payment records
General Amount
$140
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $41 |
| Merck Sharp & Dohme LLC | $27 |
| Ethicon Inc. | $22 |
| GlaxoSmithKline, LLC. | $18 |
| PFIZER INC. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-01-26
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150126001871 | I | Physician Assistant | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 121 | 101 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 112 | 104 | $0 |
| 83036 | Hemoglobin a1c level | 68 | 55 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 38 | 35 | $0 |
| 83037 | Hemoglobin a1c level, by device for home use | 35 | 28 | $0 |
Insurance plans in this area (ZIP 85130)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AZ | 83036 | Hemoglobin A1C level | 17 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| Family Practice | AZ |
Reviews
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