RICHARD A JR. LAUDERDALE (PA) – Medical Physician Assistant, NPI 1073564670
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
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Provider Addresses for RICHARD A JR. LAUDERDALE (PA)
301, Brown Springs Road, Mitylene, Montgomery, Montgomery County, Alabama, 36117, United States
MONTGOMERY, AL 361177005
Phone: (334) 273-4508
Fax: (334) 273-4290
Type: Mailing
400, Taylor Road, Mitylene, Montgomery, Montgomery County, Alabama, 36117, United States
MONTGOMERY, AL 361173512
Phone: (334) 272-1050
Fax: (818) 587-2493
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $129.
Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($74).
Total Amount
$129
General + Research + Ownership
Payments
7
Total payment records
General Amount
$129
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $74 |
| PFIZER INC. | $24 |
| Lilly USA, LLC | $16 |
| Vision Quest Industries Inc. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-05-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040510000807 | I | Physician Assistant | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 352 | 74 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 289 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 204 | 128 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 201 | 107 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 169 | 77 | $0 |
Insurance plans in this area (ZIP 36117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AL | |
| Nurse Practitioner | AL |
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