COURTNEY TA – Physician Assistant, NPI 1821687047
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for COURTNEY TA
3151 AIRWAY AVE STE T3
COSTA MESA, CA 926264627
Phone:
Type: Mailing
3400 W BALL RD STE 104
ANAHEIM, CA 928043735
Phone: (949) 432-9989
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 478 Open Payments records for all available years, with a total value of $10,027.
Total Amount is formed as General ($10,027) + Research ($0) + Ownership ($0) = $10,027.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($1,825).
Total Amount
$10,027
General + Research + Ownership
Payments
478
Total payment records
General Amount
$10,027
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $1,825 |
| ABBVIE INC. | $1,188 |
| Otsuka America Pharmaceutical, Inc. | $936 |
| Janssen Pharmaceuticals, Inc | $799 |
| Neurocrine BioSciences, Inc. | $630 |
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: 2022-07-15
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 |
|---|---|---|---|---|
| I20220715001599 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 697 | 136 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 680 | 136 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 24 | 14 | $0 |
Insurance plans in this area (ZIP 92626)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| P S Y C H I A T R Y | CA | |
| Mental Health Counselor | GA | |
| Nurse Practitioner | CA | |
| Marriage And Family Therapist | CA |
Reviews
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