SUSAN HARTMANN (PA-C) – Surgical Physician Assistant, NPI 1104555408
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
Provider Addresses for SUSAN HARTMANN (PA-C)
921 S 8TH AVE STOP 8253
POCATELLO, ID 832090002
Phone: (472) 620-8282
Type: Mailing
301 W NORTHERN LIGHTS BLVD STE 400
ANCHORAGE, AK 995032648
Phone: (907) 563-4810
Fax: (907) 563-4811
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $3,515.
Total Amount is formed as General ($3,515) + Research ($0) + Ownership ($0) = $3,515.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,703).
Total Amount
$3,515
General + Research + Ownership
Payments
25
Total payment records
General Amount
$3,515
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $1,703 |
| SI-BONE, INC. | $1,251 |
| Medtronic, Inc. | $210 |
| Merz Pharmaceuticals, LLC | $118 |
| Ethicon US, LLC | $92 |
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: 2023-02-28
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 |
|---|---|---|---|---|
| I20230228000995 | I | Physician Assistant | AK | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 28 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 26 | 13 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 83209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | AK | |
| N E U R O S U R G E R Y | AK | |
| Physician Assistant | AK | |
| Physician Assistant | AK | |
| N E U R O S U R G E R Y | AK | |
| N E U R O L O G Y | IL | |
| N E U R O L O G Y | MO |
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