DERRIK HOLLADAY (PA-C) – Physician Assistant, NPI 1245730647
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for DERRIK HOLLADAY (PA-C)
65 RIVERTON COMMONS DR
FRONT ROYAL, VA 226306768
Phone: (540) 635-0700
Type: Location
137 EQUESTRIAN DR
STEPHENS CITY, VA 226552150
Phone:
Type: Mailing
160 Merchant St Ste 200
Winchester, VA 226034772
Phone: (540) 536-5950
Type: Location
607 E Jubal Early Dr
Winchester, VA 226015178
Phone: (540) 536-2232
Type: Location
415A South St
Front Royal, VA 226302115
Phone: (540) 636-0495
Type: Location
33820 Old Valley Pike Ste 2
Strasburg, VA 226573793
Phone: (540) 459-1310
Type: Location
220 CAMPUS BLVD STE 100
WINCHESTER, VA 226012896
Phone: (540) 536-5100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-05-29 • Largest payer in this snapshot: PFIZER INC. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $16 |
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: 2018-04-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180424001693 | I | Physician Assistant | VA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 53 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 32 | 16 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 31 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 23 | $0 |
| 71046 | X-ray of chest, 2 views | 23 | 23 | $0 |
Insurance plans in this area (ZIP 22630)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Emergency Medicine | NC | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | WV | |
| - | VA | |
| Family Practice | VA | |
| - | VA | |
| - | VA | |
| Physician Assistant | VA |
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