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Elliot Derricotte, PA

NPI 1467083402 · Medical Physician Assistant · Springfield, MA

Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1467083402
Entity type: Individual
Primary specialty: Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA
Sex: Male
Sole proprietor: No
License: PA7519 (MA)

Specialties & taxonomies

Medical Physician AssistantPrimary363AM0700XLicense PA7519 (MA)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(51/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
6 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
1 documented practice location
Medicare service volume (vs. specialty peers)28% of score
210 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223	199	$145
Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222	11	$110

Typical Medicare-allowed amounts for these services range $110–$145 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Practice location

759 Chestnut St

Springfield, MA 01199-1001

Phone: (413) 794-6297

Fax: (413) 794-1767

Street-level locationGet directions

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Mailing address

280 Chestnut St Fl 2