KATHERINE BRADY VAN BEURDEN (PA-C) – Physician Assistant, NPI 1508454364
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,686 PHYSICIAN ASSISTANT in CA
Provider Addresses for KATHERINE BRADY VAN BEURDEN (PA-C)
892 AEROVISTA PL STE 120
SAN LUIS OBISPO, CA 934018054
Phone: (805) 544-5567
Type: Mailing
7401 MAIN ST
HOUSTON, TX 770304509
Phone: (713) 799-8600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 101 Open Payments records for all available years, with a total value of $2,628.
Total Amount is formed as General ($2,628) + Research ($0) + Ownership ($0) = $2,628.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($485).
Total Amount
$2,628
General + Research + Ownership
Payments
101
Total payment records
General Amount
$2,628
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. | $485 |
| Lilly USA, LLC | $323 |
| Incyte Corporation | $227 |
| PFIZER INC. | $179 |
| Janssen Biotech, Inc. | $135 |
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: 2022-03-18
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210311000099 | I | Physician Assistant | TX | TBD |
| I20220318000624 | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 93401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | CA |
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