MICHAEL D EASTERLING (PA) – Surgical Physician Assistant, NPI 1720154768

MICHAEL D EASTERLING (PA) is a healthcare provider. based in Montgomery, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA.12 (AL). The NPI Number for MICHAEL D EASTERLING (PA) is 1720154768

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL D EASTERLING (PA)
NPI
1720154768
Phone
(334) 834-6040
Address
1510 FOREST AVE
Enumeration Date
28 November 2006
Last Update Date
11 January 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
3342862987
Graduation Year
1986 (40 years ago)
PAC ID
6406021120
Group Practice PAC ID
8426076670
Professional Enrollment ID
I20111209000114
Address ID
AL361162409MO2105XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,201 PHYSICIAN ASSISTANT in AL

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Provider Addresses for MICHAEL D EASTERLING (PA)

  • 1510, Forest Avenue, Montgomery, Montgomery County, Alabama, 36106, United States

    MONTGOMERY, AL 361061517

    Phone: (334) 834-6040

    Fax: (334) 264-5129

    Type: Mailing

  • 2055 E SOUTH BLVD STE 603

    MONTGOMERY, AL 361162014

    Phone: (334) 747-8800

    Fax: (334) 747-8810

    Type: Location

  • 301 BROWN SPRINGS RD

    MONTGOMERY, AL 361177005

    Phone: (334) 747-4159

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $736.

Total Amount is formed as General ($736) + Research ($0) + Ownership ($0) = $736.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medtronic, Inc. ($236).

Total Amount

$736

General + Research + Ownership

Payments

34

Total payment records

General Amount

$736

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-12-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111209000114IPhysician AssistantALTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
33533Coronary artery bypass using artery graft, 1 graft1515$0
33508Harvest of vein using an endoscope1414$0
33268Exclusion of appendage of left upper chamber of heart performed during other procedure on chest1111$0
View full utilization report →

Insurance plans in this area (ZIP 36106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426076670View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
-AL
Addiction Medicine, Family PracticeAL
Interventional Cardiology, Cardiovascular Disease (Cardiology)AL
Family PracticeAL
Family PracticeAL
Physician AssistantAL
-AL
Interventional CardiologyAL

Reviews

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Frequently asked questions

What identifier follows MICHAEL D EASTERLING (PA) across health systems?
The NPI 1720154768 uniquely identifies MICHAEL D EASTERLING (PA) in U.S. healthcare data.
Is MICHAEL D EASTERLING (PA)'s NPI status active today?
Active status means MICHAEL D EASTERLING (PA)'s NPI record is not deactivated in the public file.
What type of care does MICHAEL D EASTERLING (PA) provide?
MICHAEL D EASTERLING (PA)'s profile centers on Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MICHAEL D EASTERLING (PA) tied to Montgomery, Alabama?
If you are local to Montgomery, Alabama, MICHAEL D EASTERLING (PA) may be relevant to your search.
Who maintains MICHAEL D EASTERLING (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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