JOHN HARDISTY (M.S., PA-C) – Medical Physician Assistant, NPI 1689097099
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
Provider Addresses for JOHN HARDISTY (M.S., PA-C)
177 ROSS DR
MOUNTAIN BRK, AL 352132547
Phone: (205) 705-9178
Type: Mailing
1201 7TH ST SE
DECATUR, AL 356013337
Phone: (256) 341-3328
Fax: (256) 341-2605
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $365.
Total Amount is formed as General ($365) + Research ($0) + Ownership ($0) = $365.
Last reported payment date: 2024-06-22 • Largest payer in this snapshot: United Therapeutics Corporation ($190).
Total Amount
$365
General + Research + Ownership
Payments
4
Total payment records
General Amount
$365
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| United Therapeutics Corporation | $190 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $175 |
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: 2018-09-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180808000872 | I | Physician Assistant | FL | TBD |
| I20180920002330 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 35 | 34 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 15 | 15 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 15 | 15 | $0 |
Insurance plans in this area (ZIP 35213)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Nurse Practitioner | OH | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | CO | |
| Physician Assistant | WI | |
| - | CO | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO |
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