MS. CAROL SUE CDEBACA PA-C NPI 1154518900

NPI Information

  • NPI: 1154518900
  • Provider Name: MS. CAROL SUE CDEBACA, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12901 BRIGGS RD
    CHESTER, VA
    ZIP 23831
  • Phone: (804) 715-4709

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NPI Details

MS. Carol Sue Cdebaca, PA-C is a surgical physician assistant in Chester, VA. MS. Carol Sue Cdebaca, PA-C NPI is 1154518900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12901 BRIGGS RD
CHESTER, VA
ZIP 23831-335
Phone: (804) 715-4709
Fax: (804) 715-4709

The NPI 1154518900 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Hyaluronan or derivative, monovisc, for intra-articular injection, per dose (HCPCS:J7327)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of hip, 2-3 views (HCPCS:73502)

The enumeration date for this NPI number is 9/26/2007 and was last updated on 4/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical0110002628VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11154518900OTHERVIRGINIASOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
2P01464014OTHERVIRGINIARAILROAD MEDICARE
31154518900OTHERVIRGINIAHUMANA MEDICARE
4540506332115OTHERVIRGINIATRICARE
51154518900OTHERVIRGINIAIN TOTAL
61154518900OTHERVIRGINIAOPTIMA HEALTH PLAN
71154518900OTHERVIRGINIAAETNA
81154518900OTHERVIRGINIACCC VIRGINIA PREMIER
91154518900OTHERVIRGINIAMEDICAID QMB
101154518900OTHERVIRGINIAANTHEM MEDIGAP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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