SARAH ELIZABETH RAYBURN (PA-C) – Physician Assistant, NPI 1609467216

SARAH ELIZABETH RAYBURN (PA-C) is a healthcare provider. based in Fayetteville, Arkansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3196 (OK). The NPI Number for SARAH ELIZABETH RAYBURN (PA-C) is 1609467216

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SARAH ELIZABETH RAYBURN (PA-C)
NPI
1609467216
Phone
(405) 740-0348
Address
4887 E SAGELY LN
Enumeration Date
27 January 2021
Last Update Date
28 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186651520
Graduation Year
2020 (6 years ago)
PAC ID
1254746597
Group Practice PAC ID
3375442692
Professional Enrollment ID
I20210602001055
Address ID
OK741295101TU2929XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for SARAH ELIZABETH RAYBURN (PA-C)

  • 4887 E SAGELY LN

    FAYETTEVILLE, AR 727039250

    Phone: (405) 740-0348

    Type: Mailing

  • 1145 S UTICA AVE STE 110

    TULSA, OK 741044013

    Phone: (918) 579-9820

    Type: Location

  • 225 NW EUBANKS ST

    OKLAHOMA CITY, OK 731188625

    Phone:

    Type: Mailing

  • 1322 KLABZUBA AVE

    PRAGUE, OK 748644900

    Phone: (405) 567-4922

    Type: Location

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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-02-24 • Largest payer in this snapshot: ABBVIE INC. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$19
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: 2021-06-02

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
I20210602001055IPhysician AssistantOKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4747$0
87804Detection test by immunoassay with direct visual observation for influenza virus3618$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)3333$0
99203New patient office or other outpatient visit, 30-44 minutes2828$0
81003Automated urinalysis test1111$0
View full utilization report →

Insurance plans in this area (ZIP 72703)

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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: 3375442692View full group profile

Reviews

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Frequently asked questions

Where can patients find SARAH ELIZABETH RAYBURN (PA-C)'s NPI?
You can confirm SARAH ELIZABETH RAYBURN (PA-C) with NPI 1609467216; it appears in the national provider directory.
Is SARAH ELIZABETH RAYBURN (PA-C)'s NPI currently valid?
The extract we use shows SARAH ELIZABETH RAYBURN (PA-C) as active.
Does SARAH ELIZABETH RAYBURN (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for SARAH ELIZABETH RAYBURN (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for SARAH ELIZABETH RAYBURN (PA-C)?
The page summarizes Fayetteville, Arkansas for SARAH ELIZABETH RAYBURN (PA-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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