SARA BETH HANNON (PA-C) – Physician Assistant, NPI 1790750990
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for SARA BETH HANNON (PA-C)
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606775985
Phone: (317) 770-6900
Fax: (317) 770-6911
Type: Mailing
325 WESTFIELD RD STE C
NOBLESVILLE, IN 460601496
Phone: (317) 770-1700
Fax: (317) 770-1727
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $138.
Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Smith+Nephew, Inc. ($82).
Total Amount
$138
General + Research + Ownership
Payments
4
Total payment records
General Amount
$138
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $82 |
| DePuy Synthes Sales Inc. | $37 |
| Stryker Corporation | $20 |
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: 2004-11-23
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 |
|---|---|---|---|---|
| I20041123000880 | I | Physician Assistant | IN | 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 |
|---|---|---|---|---|
| 73560 | X-ray of knee, 1-2 views | 88 | 57 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 53 | 11 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 45 | 43 | $0 |
| 73502 | X-ray of hip, 2-3 views | 43 | 29 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 38 | 36 | $0 |
Insurance plans in this area (ZIP 60677)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IN | 27447 | Repair of knee joint | 33 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Emergency Medicine | IN | |
| Internal Medicine | IL | |
| Nurse Practitioner | IN | |
| - | OH | |
| Emergency Medicine | IN | |
| Orthopedic Surgery | IN | |
| Physician Assistant | PA | |
| Emergency Medicine | TN | |
| Nurse Practitioner | FL |
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