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Derrick Brent Freeman

NPI 1790208544ActiveIndividual· Physician Assistant· Modesto, CA

Physician Assistant in Modesto, California, licensed in CA, with an NPI issued in July 2017. Part D covered 33 prescriptions written in 2024, 91% of them generic.

Overview

NPI1790208544
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJul 24, 2017
Last updated in NPPESJul 24, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X54664CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (CA)

Part D prescriptions in 2024

Prescriptions (claims)33 · 44 30-day fills
Patients16
Total drug cost$831.49
Generic share91% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Modesto

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