MR. DERECK G CAMPBELL (PA-C) – Physician Assistant, NPI 1588904650
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. DERECK G CAMPBELL (PA-C)
222 OAK ST
MOUNTAIN CITY, TN 376831526
Phone: (423) 727-6319
Fax: (423) 727-4164
Type: Location
PO BOX 850
ROGERSVILLE, TN 378570850
Phone: (423) 727-6319
Fax: (423) 727-4164
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $411.
Total Amount is formed as General ($411) + Research ($0) + Ownership ($0) = $411.
Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Smith+Nephew, Inc. ($397).
Total Amount
$411
General + Research + Ownership
Payments
4
Total payment records
General Amount
$411
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $397 |
| Kerecis Limited | $14 |
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: 2016-09-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130513000332 | I | Physician Assistant | TN | TBD |
| I20160907002008 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 235 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 125 | 60 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 56 | 30 | $0 |
| 29580 | Strapping, unna boot | 31 | 13 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 20 | 14 | $0 |
Insurance plans in this area (ZIP 37683)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | SC | |
| - | NC | |
| Cardiovascular Disease (Cardiology) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| - | NC | |
| Radiation Oncology | PA | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| Family Practice | NC | |
| Nurse Practitioner | NC | |
| Certified Registered Nurse Anesthetist (Crna) | NC |
Reviews
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