ELIZABETH ANN BOHN (PA-C) – Physician Assistant, NPI 1679721179
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for ELIZABETH ANN BOHN (PA-C)
500, Belt Line Road, Collinsville, Madison County, Illinois, 62234, United States
COLLINSVILLE, IL 622344489
Phone: (618) 343-6005
Type: Location
2630 HIGHWAY K STE 100
O FALLON, MO 633686624
Phone: (636) 240-5454
Type: Location
2630 STATE HIGHWAY K
STE 100
O'FALLON, MO 63368
Phone: (636) 240-5454
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $564.
Total Amount is formed as General ($564) + Research ($0) + Ownership ($0) = $564.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Exact Sciences Corporation ($125).
Total Amount
$564
General + Research + Ownership
Payments
26
Total payment records
General Amount
$564
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $125 |
| ABBVIE INC. | $85 |
| GlaxoSmithKline, LLC. | $68 |
| Novo Nordisk Inc | $68 |
| Amgen Inc. | $56 |
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: 2022-10-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20111207000732 | I | Physician Assistant | IL | TBD |
| I20221031000284 | I | Physician Assistant | MO | 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 | 213 | 153 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 125 | 98 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 48 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 30 | 30 | $0 |
| G0008 | Administration of influenza virus vaccine | 27 | 27 | $0 |
Insurance plans in this area (ZIP 62234)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| Family Practice | MO | |
| Hospitalist, Family Practice | MO | |
| Internal Medicine | MO | |
| - | MO | |
| Family Practice | MO | |
| Internal Medicine | IL | |
| Internal Medicine, Hospitalist | MO | |
| Nurse Practitioner | MO |
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