ALEXA BLAIRE GRAND (PA-C) – Physician Assistant, NPI 1093228520
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
629 PHYSICIAN ASSISTANT in AR
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Provider Addresses for ALEXA BLAIRE GRAND (PA-C)
Hull Dermatology, 500, South 52nd Street, Rogers, Benton County, Arkansas, 72758, United States
ROGERS, AR 727588600
Phone: (479) 254-9662
Fax: (479) 254-9662
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 67 Open Payments records for all available years, with a total value of $1,410.
Total Amount is formed as General ($1,410) + Research ($0) + Ownership ($0) = $1,410.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($264).
Total Amount
$1,410
General + Research + Ownership
Payments
67
Total payment records
General Amount
$1,410
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $264 |
| GENZYME CORPORATION | $201 |
| Novartis Pharmaceuticals Corporation | $171 |
| Sun Pharmaceutical Industries Inc. | $158 |
| Lilly USA, LLC | $132 |
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: 2020-09-01
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 |
|---|---|---|---|---|
| I20200901000788 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 691 | 103 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 265 | 202 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 167 | 131 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 141 | 123 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 98 | 75 | $0 |
Insurance plans in this area (ZIP 72758)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL | |
| Physician Assistant | AR | |
| D E R M A T O L O G Y | AR | |
| D E R M A T O L O G Y | AR | |
| P A T H O L O G Y | AR | |
| - | AR | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | AR | |
| General Practice, Pathology | AR |
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