EVAN JAE BEALE (PA-C) – Physician Assistant, NPI 1689174146
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for EVAN JAE BEALE (PA-C)
9339 GENESEE AVE STE 350A
SAN DIEGO, CA 921212119
Phone: (858) 263-0571
Type: Location
2285, Corporate Circle, Green Valley Ranch, Henderson, Clark County, Nevada, 89074, United States
STE 200
HENDERSON, NV 890747759
Phone: (702) 360-2763
Fax: (949) 783-2880
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $1,129.
Total Amount is formed as General ($1,129) + Research ($0) + Ownership ($0) = $1,129.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: ABBVIE INC. ($594).
Total Amount
$1,129
General + Research + Ownership
Payments
52
Total payment records
General Amount
$1,129
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $594 |
| Regeneron Healthcare Solutions, Inc. | $106 |
| LEO Pharma Inc. | $58 |
| Biofrontera Inc. | $53 |
| PFIZER INC. | $52 |
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: 2026-03-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260302000181 | I | Physician Assistant | PA | 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 | 93 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 27 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 31 | 31 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 28 | 22 | $0 |
Insurance plans in this area (ZIP 92121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds), Dermatology | CO | |
| D E R M A T O L O G Y | PA | |
| Nurse Practitioner | PA | |
| D E R M A T O L O G Y | PA | |
| Nurse Practitioner | PA | |
| D E R M A T O L O G Y | CA | |
| - | PA | |
| Physician Assistant | DE | |
| Physician Assistant | PA | |
| D E R M A T O L O G Y | TX |
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