MRS. MARIA PANIAMOGAN (PA) – Physician Assistant, NPI 1760455398

MRS. MARIA PANIAMOGAN (PA) is a healthcare provider. based in Moline, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085002064 (IL). The NPI Number for MRS. MARIA PANIAMOGAN (PA) is 1760455398

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARIA PANIAMOGAN (PA)
NPI
1760455398
Phone
(309) 788-0014
Address
612 35TH AVE STE 1
Enumeration Date
13 February 2006
Last Update Date
15 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
5991601320
Group Practice PAC ID
9133024334
Professional Enrollment ID
I20230410002425
Address ID
MO637014556CA1723XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for MRS. MARIA PANIAMOGAN (PA)

  • 35th Avenue, Walton Hills, Moline, Rock Island County, Illinois, 61282, United States

    MOLINE, IL 612656176

    Phone: (309) 788-0014

    Fax: (309) 623-4638

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $378.

Total Amount is formed as General ($378) + Research ($0) + Ownership ($0) = $378.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($378).

Total Amount

$378

General + Research + Ownership

Payments

17

Total payment records

General Amount

$378

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$378
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: 2023-04-10

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
I20230410002425IPhysician AssistantMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6249$0
99215Established patient office or other outpatient visit, 40-54 minutes5749$0
99205New patient office or other outpatient visit, 60-74 minutes3737$0
View full utilization report →

Insurance plans in this area (ZIP 61265)

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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: 9133024334View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YKY
Registered Dietitian Or Nutrition ProfessionalMO
Nurse PractitionerMO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
Nurse PractitionerMO
-MO
Certified Registered Nurse Anesthetist (Crna)IL
-MO
O B S T E T R I C S/ G Y N E C O L O G YAR

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. MARIA PANIAMOGAN (PA)'s NPI?
Yes. MRS. MARIA PANIAMOGAN (PA) is listed with NPI 1760455398 in the public NPI dataset.
Does the file indicate MRS. MARIA PANIAMOGAN (PA) is practicing under active NPI?
Directory data currently reports MRS. MARIA PANIAMOGAN (PA) as active.
What is MRS. MARIA PANIAMOGAN (PA)'s primary classification?
Physician Assistant is the headline specialty for MRS. MARIA PANIAMOGAN (PA) here. Clinical services aligned with this taxonomy classification.
Where is MRS. MARIA PANIAMOGAN (PA) based?
MRS. MARIA PANIAMOGAN (PA) is tied to Moline, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about MRS. MARIA PANIAMOGAN (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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