MICHAEL J PREBIL (P.A) – Physician Assistant, NPI 1104875533
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MICHAEL J PREBIL (P.A)
2100 Powell Street, Bay Trail, Emeryville, Alameda County, California, 94608, United States
EMERYVILLE, CA 946081803
Phone: (510) 350-2777
Type: Mailing
West Thunderbird Boulevard, Sun City CDP, Maricopa County, Arizona, 85351, United States
SUN CITY, AZ 85351
Phone: (623) 977-7211
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-09-11
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 |
|---|---|---|---|---|
| I20060911000094 | I | Physician Assistant | AZ | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 40 | 40 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 37 | 36 | $0 |
Insurance plans in this area (ZIP 94608)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Family Practice | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | UT | |
| - | AZ | |
| Internal Medicine, Pediatric Medicine | WA | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| Physician Assistant | AZ |
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