DERRICK MOSS (ATC) – Physician Assistant, NPI 1932598455
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
Provider Addresses for DERRICK MOSS (ATC)
508 ZUIDER ZEE DR SE
ORANGE CITY, IA 510411764
Phone: (712) 441-4018
Type: Mailing
208 8TH ST SW
ORANGE CITY, IA 510419022
Phone: (712) 707-7287
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $1,185.
Total Amount is formed as General ($1,185) + Research ($0) + Ownership ($0) = $1,185.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Conetic Solutions, Inc. ($661).
Total Amount
$1,185
General + Research + Ownership
Payments
14
Total payment records
General Amount
$1,185
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Conetic Solutions, Inc. | $661 |
| Arthrex, Inc. | $490 |
| Stryker Corporation | $34 |
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: 2022-12-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20221221002231 | I | Physician Assistant | IA | TBD |
| I20221221002334 | I | Physician Assistant | NE | TBD |
| I20221229002378 | I | Physician Assistant | SD | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 280 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 137 | 98 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 77 | 61 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 37 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 51041)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | SD | |
| Physical Therapist In Private Practice | SD | |
| N E U R O S U R G E R Y | NE | |
| Orthopedic Surgery | SD | |
| - | SD | |
| Physician Assistant | SD | |
| Physician Assistant | IA | |
| Occupational Therapist In Private Practice | SD | |
| Physician Assistant | SD | |
| Nurse Practitioner | SD |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.