MISS BERKELEY FIAL (PA) – Physician Assistant, NPI 1124513981
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
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Provider Addresses for MISS BERKELEY FIAL (PA)
9635 AVOCET LN
LAFAYETTE, CO 800269737
Phone: (720) 308-1031
Type: Mailing
Calloway Drive, Bakersfield, Kern County, California, United States
BAKERSFIELD, CA 933122513
Phone: (661) 410-7546
Type: Location
3400 Calloway Dr Ste 200
Bakersfield, CA 933122513
Phone: (661) 410-7546
Type: Location
3575 BROADWAY ST
BOULDER, CO 803041825
Phone: (303) 449-0933
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 123 Open Payments records for all available years, with a total value of $4,753.
Total Amount is formed as General ($4,753) + Research ($0) + Ownership ($0) = $4,753.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,118).
Total Amount
$4,753
General + Research + Ownership
Payments
123
Total payment records
General Amount
$4,753
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $1,118 |
| ABBVIE INC. | $461 |
| Dermavant Sciences, Inc. | $287 |
| Arcutis Biotherapeutics, Inc. | $266 |
| Galderma Laboratories, L.P. | $247 |
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: 2021-04-27
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 |
|---|---|---|---|---|
| I20210427002758 | I | Physician Assistant | CO | 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 | 1,078 | 182 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 359 | 255 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 293 | 215 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 128 | 114 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 65 | 59 | $0 |
Insurance plans in this area (ZIP 80026)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CO | |
| - | CO | |
| Physician Assistant | CO | |
| D E R M A T O L O G Y | WI |
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