DERICK THOMAS PA-C NPI 1003339920

NPI Information

  • NPI: 1003339920
  • Provider Name: DERICK THOMAS, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2603 KENTUCKY AVE STE 102
    PADUCAH, KY
    ZIP 42003
  • Phone: (270) 228-3973

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NPI Details

Derick Thomas, PA-C is a physician assistant in Paducah, KY with 9 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Derick Thomas, PA-C NPI is 1003339920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2603 KENTUCKY AVE STE 102
PADUCAH, KY
ZIP 42003-815
Phone: (270) 228-3973
Fax: (270) 359-5046

The NPI 1003339920 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Fusion of spine in lower back (HCPCS:22612)
  • Fusion of additional segment of spine (HCPCS:22614)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)

The enumeration date for this NPI number is 7/23/2017 and was last updated on 7/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA2242KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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