BRYAN LEE PHERSON (PA-C) – Medical Physician Assistant, NPI 1619162799
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
551 PHYSICIAN ASSISTANT in AK
Provider Addresses for BRYAN LEE PHERSON (PA-C)
3600 BETTE CATO DR
SEWARD, AK 996649730
Phone: (907) 224-8171
Fax: (907) 224-8180
Type: Mailing
3600 Bette Cato Dr
Seward, AK 99664
Phone: (907) 224-8171
Fax: (907) 224-8180
Type: Location
1001 Noble St
Fairbanks, AK 997014922
Phone: (907) 458-2682
Fax: (907) 458-2628
Type: Location
230 E MARYDALE AVE
SOLDOTNA, AK 996697648
Phone: (907) 262-3119
Fax: (907) 262-9290
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 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: 2023-04-26 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($129).
Total Amount
$129
General + Research + Ownership
Payments
1
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
2023-04-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $129 |
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: 2007-10-10
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 |
|---|---|---|---|---|
| I20071010000758 | I | Physician Assistant | AK | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99664)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AK | |
| Mental Health Counselor | AK | |
| Nurse Practitioner | AK | |
| Family Practice | AK | |
| Physician Assistant | CO | |
| - | AK | |
| O P T O M E T R Y | CA | |
| Nurse Practitioner | AK | |
| Nurse Practitioner | FL | |
| Clinical Psychologist | AK |
Reviews
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