PEYTON BROUWER – Physician Assistant, NPI 1164165353

PEYTON BROUWER is a healthcare provider. based in Suwanee, Georgia. specializing in PHYSICIAN ASSISTANT. They hold a License No. 11264 (GA). The NPI Number for PEYTON BROUWER is 1164165353

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
PEYTON BROUWER
NPI
1164165353
Phone
Not provided
Address
625 OLD PEACHTREE RD NW
Enumeration Date
15 April 2022
Last Update Date
24 January 2025

Doctor Profile

Medical School Name
PHILADELPHIA COL OF OSTEO MED, SEWANEE
Secondary Phone
4702420714
Graduation Year
2022 (4 years ago)
PAC ID
4082081807
Group Practice PAC ID
6800885757
Professional Enrollment ID
I20221108003433
Address ID
GA300416092CU2870XBLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for PEYTON BROUWER

  • 625 OLD PEACHTREE RD NW

    SUWANEE, GA 300242937

    Phone:

    Type: Mailing

  • 2500 HOSPITAL BLVD STE 280

    ROSWELL, GA 300764918

    Phone: (770) 754-0787

    Fax: (770) 755-5890

    Type: Mailing

  • 1357 HEMBREE RD STE 280

    ROSWELL, GA 300765722

    Phone: (770) 754-0787

    Fax: (770) 755-5890

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 330 Open Payments records for all available years, with a total value of $7,475.

Total Amount is formed as General ($7,475) + Research ($0) + Ownership ($0) = $7,475.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: LEO Pharma Inc. ($1,568).

Total Amount

$7,475

General + Research + Ownership

Payments

330

Total payment records

General Amount

$7,475

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-11-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221108003433IPhysician AssistantGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths634113$0
99213Established patient office or other outpatient visit, 20-29 minutes239193$0
11103Biopsy of related skin growth, each additional growth228107$0
11102Biopsy of related skin growth, first growth192167$0
17000Destruction of precancer skin growth, 1 growth162137$0
View full utilization report →

Insurance plans in this area (ZIP 30024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800885757View full group profile
NameSpecialtyState
Physician AssistantGA
D E R M A T O L O G YAL
D E R M A T O L O G YMA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YLA
Physician AssistantGA
D E R M A T O L O G YFL
Micrographic Dermatologic Surgery (Mds), DermatologyGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

How do I look up PEYTON BROUWER by NPI?
Use NPI 1164165353 when you need to reference PEYTON BROUWER in forms, claims, or directories.
Is PEYTON BROUWER's NPI currently valid?
The extract we use shows PEYTON BROUWER as active.
What does PEYTON BROUWER treat or focus on?
Patients typically see PEYTON BROUWER under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place PEYTON BROUWER?
The snapshot lists Suwanee, Georgia for PEYTON BROUWER; download NPPES for the complete set.
What if Suwanee, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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