Derek Kelly Coburn, P.A.
Physician Assistant · Charlotte, NC
Derek Kelly Coburn, P.A. is a physician assistant with a practice address in Charlotte, North Carolina, and NPI 1861851784, issued on Feb 19, 2016. Check the license (North Carolina 0010-06199, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Derek Kelly Coburn
- Credential
- P.A.
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- 0010-06199 NC
001006199 NC
Self-reported in NPPES; status is on the state search - Practice location
- 2001 Vail Ave, Charlotte, NC 28207
- Phone
- (208) 863-8974
- Enumerated
- Feb 19, 2016
- Record last updated
- Jun 10, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20160520001862); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 9,279 in North Carolina → Look up another NPI →
Also registered at 2001 Vail Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Derek Kelly Coburn in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 0010-06199Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
39% fewer Medicare Part D claims than the average physician assistant in 2024
508 Medicare Part D claims for 352 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. 61 claims were for opioids.
Most prescribed
- Prednisone57 claims
- Cephalexin55 claims
- Hydrocodone-Acetaminophen46 claims
- Amoxicillin-Clavulanate Potass42 claims
- Doxycycline Monohydrate38 claims
- Methylprednisolone36 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 95.4 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $60.16
4 payments; by number, the most common kind was food and beverage; the largest payer was Csl Behring. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Carolinas Physicians Network IncMooresville, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Derek Kelly Coburn among 9,279 physician assistant records in North Carolina
Derek Kelly Coburn, P.A. is one of 9,279 physician assistant records with a practice address in North Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 48% of them.
- NPI issued2016 · 48% of these records are older, 47% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2015 · median 2017 among the 6,366 with a school on file
- Record last updated2020 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,308 physician assistant records list a practice address in Charlotte
They are 1,308 of the 23,603 NPPES records with a practice address in Charlotte, and 9,279 physician assistant records in North Carolina.
All 9,279 in North Carolina → Every provider in Charlotte → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Gregory Conner, PACharlotte, NC 282071346210838
- Kathy Crump, PA-CCharlotte, NC 282071982687745
- Jennifer Farres, PA-CCharlotte, NC 282071598763054
- Jeremy Gaines, PA-CCharlotte, NC 282071407839483
- Thomas Haser, PA-CCharlotte, NC 282071033192687
- William Heisel, PA-CCharlotte, NC 282071164405718
- Christopher Kauffman, PA-CCharlotte, NC 282071457334286
- Aimee Kerchner, PA-CCharlotte, NC 282071669459459
Common questions
What is Derek Kelly Coburn, P.A.'s NPI number?
Derek Kelly Coburn, P.A.'s National Provider Identifier (NPI) is 1861851784, issued on Feb 19, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Derek Kelly Coburn, P.A. located?
The NPPES record lists a practice address at 2001 Vail Ave, Charlotte, NC, 28207. Phone: (208) 863-8974. Providers update this record themselves, so call before visiting.
How can I verify Derek Kelly Coburn, P.A.'s license?
NPPES lists North Carolina license number 0010-06199, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
How much does Derek Kelly Coburn, P.A. prescribe under Medicare Part D?
In 2024, Derek Kelly Coburn, P.A. had 508 Medicare Part D claims for 352 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Derek Kelly Coburn, P.A.'s MIPS final score?
The 2023 MIPS final score is 95.4 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.