Active NPI 1669518379 Individual Practitioner Male Practitioner

Derrick M Robinson , PHYSICIAN ASSISTANT

Physician Assistant • Pawtucket, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Derrick Robinson, PHYSICIAN ASSISTANT is a certified Physician Assistant practicing in Pawtucket, RI. With approximately 20 years of clinical experience since completing medical education in 2006, Derrick Robinson delivers high-quality medical care to the local community at 407 EAST AVE STE 110.

Derrick Robinson is affiliated with University Internal Medicine,Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, hemoglobin a1c level, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

407 East Ave Ste 110

Pawtucket, RI 028605299

Telephone 4017254700

Associated Practice Facility / Clinic

🏢 University Internal Medicine,inc Facility NPI 1669507133

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pawtucket, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +11.9 yrs vs City Avg

City Avg: 8.1 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

28 Specialists

Practicing in Pawtucket, RI (687 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Robinson (20 Years) 20 Yrs

Pawtucket Specialty Average (8.1 Years) 8.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	121	93	$175.00	$66.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	64	$250.00	$66.99
83036 Hemoglobin A1C level	43	25	$25.00	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$200.00	$40.56
93000 Routine ekg using at least 12 leads including interpretation and report	25	24	$75.00	$12.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	82	$175.00	$69.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	60	$250.00	$65.62
83036 Hemoglobin A1C level	41	26	$25.00	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$200.00	$45.03
93000 Routine ekg using at least 12 leads including interpretation and report	29	26	$75.00	$12.58
G0008 Administration of influenza virus vaccine	17	17	$30.00	$29.40
90662 Influenza vaccine split virus, preservative free	16	16	$0.01	$0.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	124	82	$175.00	$64.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	73	$250.00	$63.25
83036 Hemoglobin A1C level	48	32	$25.00	$9.57
93000 Routine ekg using at least 12 leads including interpretation and report	40	36	$75.00	$12.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$200.00	$39.77
G0008 Administration of influenza virus vaccine	18	18	$30.00	$29.40
90662 Influenza vaccine split virus, preservative free	17	17	$0.01	$0.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	118	86	$175.00	$61.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	46	$250.00	$86.48
83036 Hemoglobin A1C level	35	27	$25.00	$9.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$200.00	$117.25
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$75.00	$13.19
G0008 Administration of influenza virus vaccine	12	12	$30.00	$16.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	87	$175.00	$50.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	58	$250.00	$71.22
83036 Hemoglobin A1C level	30	25	$25.00	$9.67
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$75.00	$14.23
G0008 Administration of influenza virus vaccine	11	11	$30.00	$17.63
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$75.00	$40.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	270	205	$175.00	$48.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	57	$250.00	$69.68
83036 Hemoglobin A1C level	31	28	$25.00	$10.57
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$75.00	$15.06
20610 Aspiration and/or injection of fluid from large joint	16	11	$135.00	$50.11
G0008 Administration of influenza virus vaccine	14	14	$30.00	$17.28
90662 Influenza vaccine split virus, preservative free	12	12	$0.01	$0.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	264	194	$173.48	$49.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	64	$246.44	$72.03
93000 Routine ekg using at least 12 leads including interpretation and report	24	22	$75.00	$15.07
83036 Hemoglobin A1C level	23	22	$23.91	$11.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	267	204	$150.00	$55.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	48	$196.67	$79.86
69209 Removal of impacted ear wax by washing	26	21	$50.00	$11.57
20610 Aspiration and/or injection of fluid from large joint	16	13	$135.00	$44.82
83036 Hemoglobin A1C level	15	14	$20.00	$11.75
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$75.00	$14.94

Medical Specialties & State Licenses

CMS Verified: 2025-11-14

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA00050-G

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1669518379 (RI)

Commercial Insurance / Payer ID Bluecrossblueshield

329596 (RI)

Commercial Insurance / Payer ID Bluechip

414224 (RI)

Commercial Insurance / Payer ID Hphc

1669518379 (RI)

Commercial Insurance / Payer ID Cigna

1669518379 (RI)

Commercial Insurance / Payer ID Tufts

941024 (RI)

Commercial Insurance / Payer ID Champus

1669518379 (RI)

Commercial Insurance / Payer ID Aetna

1669518379 (RI)

Commercial Insurance / Payer ID Neighborhoodhealthplan

1669518379 (RI)

Commercial Insurance / Payer ID Unitedhealthcare

6495796 (RI)

Hospital & Practice Group Affiliations

University Internal Medicine,inc

407 E Ave, Pawtucket, RI 028605299

Phone: 4017254700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. Madhavi Yerneni , MD

Internal Medicine

NPI 1053375832

Doctor of Medicine (M.D.)

Katherine Maiorisi , PA-C

Physician Assistant

NPI 1265058044

Physician Assistant (Certified)

Dr. Christine Herbert , MD

Internal Medicine

NPI 1346202884

Doctor of Medicine (M.D.)

Dr. M Aurora Balerdi , MD

Internal Medicine

NPI 1447582135

Doctor of Medicine (M.D.)

Dr. Felicia Meila , MD

Internal Medicine

NPI 1720049802

Doctor of Medicine (M.D.)

Anthony Ramicone , PA-C

Physician Assistant

NPI 1730690488

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location November 14, 2025

Registered at 407 EAST AVE STE 110, PAWTUCKET, RI 028605299 (Tel: 4017254700)

📍

Updated Business Mailing Address November 14, 2025

Registered at 407 EAST AVE STE 110, PAWTUCKET, RI 028605299 (Tel: 4017254700)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 407 EAST AVE, SUITE 120, PAWTUCKET, RI 028605299 (Tel: 4017254700)

📍

Updated Business Mailing Address July 08, 2007

Registered at 407 EAST AVE, SUITE 120, PAWTUCKET, RI 028605299 (Tel: 4017254700)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DERRICK ROBINSON, PHYSICIAN ASSISTANT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA00050-G in RI)

🟢

Initial NPI Registration & Enumeration January 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669518379

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 29, 2007

Last Update: November 14, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

407 East Ave Ste 110

Pawtucket, RI 028605299

Phone: 4017254700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.