MRS. MARY JOSEPHINE BYRON (PA-C) – Surgical Physician Assistant, NPI 1366500779
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
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Provider Addresses for MRS. MARY JOSEPHINE BYRON (PA-C)
Western Avenue, Boulder, Boulder County, Colorado, 80303-1229, United States
BOULDER, CO 803012709
Phone: (303) 442-2395
Fax: (303) 442-1073
Type: Mailing
525, North Foote Avenue, Colorado Springs, El Paso County, Colorado, 80909, United States
STE 302
COLORADO SPRINGS, CO 809094501
Phone: (719) 365-5445
Fax: (719) 365-5530
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $461.
Total Amount is formed as General ($461) + Research ($0) + Ownership ($0) = $461.
Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Baxter Healthcare ($266).
Total Amount
$461
General + Research + Ownership
Payments
5
Total payment records
General Amount
$461
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $266 |
| Edwards Lifesciences Corporation | $128 |
| Getinge USA Sales, LLC | $67 |
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: 2011-09-01
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 |
|---|---|---|---|---|
| I20110901000305 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80301)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | CO | |
| - | CO | |
| - | MO | |
| O T O L A R Y N G O L O G Y | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO |
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