MR. DREW SIEBENMORGEN (PA-C) – Physician Assistant, NPI 1093161069
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
629 PHYSICIAN ASSISTANT in AR
Provider Addresses for MR. DREW SIEBENMORGEN (PA-C)
1300 Braden St
Jacksonville, AR 720763719
Phone: (501) 985-5934
Type: Location
1300, Braden Street, Jacksonville, Pulaski County, Arkansas, 72076, United States
JACKSONVILLE, AR 720763719
Phone: (501) 985-5934
Type: Mailing
PO BOX 746873
ATLANTA, GA 303746873
Phone:
Type: Mailing
5500 W 12TH ST
LITTLE ROCK, AR 722041716
Phone: (501) 435-1402
Fax: (501) 232-4210
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $246.
Total Amount is formed as General ($246) + Research ($0) + Ownership ($0) = $246.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Abbott Laboratories ($170).
Total Amount
$246
General + Research + Ownership
Payments
14
Total payment records
General Amount
$246
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $170 |
| PFIZER INC. | $17 |
| Novo Nordisk Inc | $17 |
| GlaxoSmithKline, LLC. | $16 |
| Amgen Inc. | $14 |
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: 2016-07-27
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 |
|---|---|---|---|---|
| I20160727001178 | I | Physician Assistant | AR | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 145 | 129 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 140 | 119 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 111 | 104 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 107 | 101 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 101 | 86 | $0 |
Insurance plans in this area (ZIP 72076)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AE | |
| Physician Assistant | AR | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Clinical Social Worker | GA | |
| Infectious Disease, Internal Medicine | AR |
Reviews
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