MR. DERRICK M ROBINSON (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1669518379

MR. DERRICK M ROBINSON (PHYSICIAN ASSISTANT) is a healthcare provider. based in Pawtucket, Rhode Island. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. PA00050-G (RI). The NPI Number for MR. DERRICK M ROBINSON (PHYSICIAN ASSISTANT) is 1669518379

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. DERRICK M ROBINSON (PHYSICIAN ASSISTANT)
NPI
1669518379
Phone
(401) 725-4700
Address
407 EAST AVE
Enumeration Date
29 January 2007
Last Update Date
14 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017254700
Graduation Year
2006 (20 years ago)
PAC ID
8224136684
Group Practice PAC ID
0345275491
Professional Enrollment ID
I20070607000656
Address ID
RI028605299PA407XXAVEX300

Contacts

Secure Messaging
robinson@uim.directbygreenway.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:19State licenses:1Other names

774 PHYSICIAN ASSISTANT in RI

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Provider Addresses for MR. DERRICK M ROBINSON (PHYSICIAN ASSISTANT)

  • 407, East Avenue, Woodlawn, Pawtucket, Providence County, Rhode Island, 02860, United States

    SUITE 120

    PAWTUCKET, RI 028605299

    Phone: (401) 725-4700

    Type: Mailing

  • 407 EAST AVE STE 110

    PAWTUCKET, RI 028605299

    Phone: (401) 725-4700

    Fax: (401) 725-4740

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $585.

Total Amount is formed as General ($585) + Research ($0) + Ownership ($0) = $585.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($135).

Total Amount

$585

General + Research + Ownership

Payments

30

Total payment records

General Amount

$585

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2007-06-07

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070607000656IPhysician AssistantRITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes12382$0
99214Established patient office or other outpatient visit, 30-39 minutes8960$0
83036Hemoglobin a1c level4126$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3333$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2926$0
View full utilization report →

Insurance plans in this area (ZIP 02860)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345275491View full group profile
NameSpecialtyState
-RI
Physician AssistantRI
-RI
Internal MedicineRI
Internal MedicineRI
Physician AssistantRI
Physician AssistantMA
Physician AssistantRI

Reviews

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Frequently asked questions

Can I verify MR. DERRICK M ROBINSON (PHYSICIAN ASSISTANT) with an NPI only?
You can start verification with NPI 1669518379 for MR. DERRICK M ROBINSON (PHYSICIAN ASSISTANT), then check state licensing separately.
Does CMS list MR. DERRICK M ROBINSON (PHYSICIAN ASSISTANT) as active?
Yes — MR. DERRICK M ROBINSON (PHYSICIAN ASSISTANT) is active in the NPI listing used on this page.
What is MR. DERRICK M ROBINSON (PHYSICIAN ASSISTANT)'s primary classification?
Physician Assistant is the headline specialty for MR. DERRICK M ROBINSON (PHYSICIAN ASSISTANT) here. Clinical services aligned with this taxonomy classification.
Where is MR. DERRICK M ROBINSON (PHYSICIAN ASSISTANT) based?
MR. DERRICK M ROBINSON (PHYSICIAN ASSISTANT) is tied to Pawtucket, Rhode Island in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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