AMANDA PETTUS (PA-C) – Surgical Physician Assistant, NPI 1144692237
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for AMANDA PETTUS (PA-C)
20425 SORRENTO LN APT 101
PORTER RANCH, CA 913264582
Phone: (650) 773-8498
Type: Mailing
836 S ARROYO PKWY
PASADENA, CA 911053212
Phone: (650) 773-8498
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $1,503.
Total Amount is formed as General ($1,503) + Research ($0) + Ownership ($0) = $1,503.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: STRATA Skin Sciences, Inc. ($587).
Total Amount
$1,503
General + Research + Ownership
Payments
34
Total payment records
General Amount
$1,503
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| STRATA Skin Sciences, Inc. | $587 |
| ABBVIE INC. | $371 |
| GENZYME CORPORATION | $166 |
| Amgen Inc. | $102 |
| Sun Pharmaceutical Industries Inc. | $100 |
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: 2022-12-29
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 |
|---|---|---|---|---|
| I20221229002400 | I | Physician Assistant | CA | 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 | 164 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 64 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 42 | 38 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 36 | 34 | $0 |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 24 | 15 | $0 |
Insurance plans in this area (ZIP 91326)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Internal Medicine | CA | |
| Physician Assistant | CA | |
| Family Practice | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Physician Assistant | CA | |
| Family Practice | CA | |
| Dermatology, Family Practice | CA |
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