Doctor profile · Federal record
Dr. Derick Stackpole
Physician Assistant · Roanoke, VA
- NPI 1396217485
- Accepts Medicare
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4035 Electric RD Ste A
Roanoke, VA 24018
(540) 772-8670 - Additional location
-
1906 Belleview Ave Se
Roanoke, VA 240141838
(540) 314-9194
Credentials & registration
- NPI registered
- December 2018 — 8 yrs on file
- Profile last updated
- August 29, 2019
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Virginia #0110006532
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396217485. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
151
Distinct HCPCS
2
Medicare allowed
$19,875
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 106 | 102 | $146 | |
99284 |
Emergency department visit with moderate level of medical decision making | 45 | 45 | $99 |
In context: peer comparison
Among 65 peers in this city , average services per provider: 72. This provider delivers 2.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
86
Patients
83
Total drug cost
$447
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 24 | 23 | $49 |
| Cephalexin | Generic | 20 | 19 | $171 |
| Ondansetron Odt (Ondansetron) | Brand | 16 | 16 | $38 |
| Doxycycline Hyclate | Generic | 15 | 14 | $146 |
| Prednisone | Generic | 11 | 11 | $43 |
Frequently asked questions
What is Dr. Derick Stackpole's medical specialty?
Dr. Derick Stackpole practices Physician Assistant in Roanoke, VA.
Where does Dr. Derick Stackpole practice?
Dr. Derick Stackpole practices at 4035 Electric RD Ste A, Roanoke, VA 24018. Office phone: 5407728670.
What is Dr. Derick Stackpole's NPI?
Dr. Derick Stackpole's National Provider Identifier (NPI) is 1396217485, issued by NPPES.
Does Dr. Derick Stackpole accept Medicare assignment?
Yes. Dr. Derick Stackpole accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Derick Stackpole commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284). Source: CMS Medicare Physician & Other Practitioners file.