CMS-1500 Box 24J / 33a • NPI
1487299400
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
415 S POLLARD ST, VINTON, VA, 24179-2502
✓ 9-Digit EDI 837 ZIP+4 (24179-2502)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1487299400 (DERRICK LEE BARR) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1487299400)
Medicare Beneficiaries
435
Total Billed Services
3,690
Distinct CPT/HCPCS Codes
82
Medicare Allowed Total
$96,536.48
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
20610 | Aspiration and/or injection of fluid from large joint | 18 |
36415 | Insertion of needle into vein for collection of blood sample | 250 |
69210 | Removal of impacted ear wax | 16 |
71046 | X-ray of chest, 2 views | 27 |
81003 | Automated urinalysis test | 15 |
82044 | Urine microalbumin (protein) analysis | 56 |
82570 | Creatinine level to test for kidney function or muscle injury | 56 |
83036 | Hemoglobin a1c level | 58 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 58 | 34 |
| Alendronate Sodium Alendronate Sodium | 33 | 12 |
| Allopurinol Allopurinol | 38 | 14 |
| Alprazolam Alprazolam | 36 | 24 |
| Amlodipine Besylate Amlodipine Besylate | 219 | 97 |
| Amlodipine Besylate-Benazepril Amlodipine Besylate/Benazepril | 18 | <11 |
| Amoxicillin Amoxicillin | 12 | 11 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 34 | 31 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1487299400 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DERRICK LEE BARR |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 415 S POLLARD ST, VINTON, VA, 24179-2502 |
| Practice Telephone / Fax | Tel: (540) 983-6700 |
| Administrative Mailing Address | 415 S POLLARD ST, VINTON, VA, 24179-2502 |
| Enumeration & Last Sync | Enumerated: 2019-11-13 | CMS Record Updated: 2021-08-16 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DERRICK LEE BARR)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: VA | License: 0110007000 | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: VA | License: 0110007000 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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