Derick Stackpole
Physician Assistant · Roanoke, VA
Derick Stackpole is a physician assistant with a practice address in Roanoke, Virginia, and NPI 1396217485, issued on Dec 30, 2018. Check the license (Virginia 0110006532, as entered in NPPES) with the Virginia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Derick Stackpole
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 0110006532 VA
Self-reported in NPPES; status is on the state search - Practice location
- 4035 Electric RD Ste A, Roanoke, VA 24018
- Phone
- (540) 772-8670
- Enumerated
- Dec 30, 2018
- Record last updated
- Aug 29, 2019 (not updated in 7 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20190326002432); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,408 in Virginia → Look up another NPI →
Also registered at 4035 Electric RD Ste A
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Derick Stackpole in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 0110006532Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
91% fewer Medicare Part D claims than the average physician assistant in 2024
77 Medicare Part D claims for 54 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. 15 claims were for opioids.
Most prescribed
- Oxycodone Hcl12 claims
- Doxycycline Hyclate11 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.
Bills Medicare through 2 group practices
- Carilion Emergency Services IncHardy, VA
- Carilion Healthcare CorporationSalem, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Derick Stackpole among 4,408 physician assistant records in Virginia
Derick Stackpole is one of 4,408 physician assistant records with a practice address in Virginia. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 49% of them.
- NPI issued2018 · 49% of these records are older, 46% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2018 · median 2018 among the 2,885 with a school on file
- Record last updated2019 · 33% 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 Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
299 physician assistant records list a practice address in Roanoke
They are 299 of the 5,303 NPPES records with a practice address in Roanoke, and 4,408 physician assistant records in Virginia.
All 4,408 in Virginia → Every provider in Roanoke → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Bethany Casey, PA-CRoanoke, VA 240181578572772
- Angela Coleman, P.A.Roanoke, VA 240181285657890
- Joseph Eddins, PARoanoke, VA 240181285611269
- Kimberly Evans, PARoanoke, VA 240181952380859
- Taryn Kenney, PARoanoke, VA 240181598010746
- Jeffrey Lackore, PARoanoke, VA 240181306879192
- Pamela Laprade, PA-CRoanoke, VA 240181326047564
- Sherri Lilly, PARoanoke, VA 240181063781029
Common questions
What is Derick Stackpole's NPI number?
Derick Stackpole's National Provider Identifier (NPI) is 1396217485, issued on Dec 30, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Derick Stackpole located?
The NPPES record lists a practice address at 4035 Electric RD Ste A, Roanoke, VA, 24018. Phone: (540) 772-8670. Providers update this record themselves, so call before visiting.
How can I verify Derick Stackpole's license?
NPPES lists Virginia license number 0110006532, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.
How much does Derick Stackpole prescribe under Medicare Part D?
In 2024, Derick Stackpole had 77 Medicare Part D claims for 54 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
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.