REBECCA KILLIAN EDMONDSON – Physician Assistant, NPI 1891136313
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for REBECCA KILLIAN EDMONDSON
3003 CIVIC CIRCLE BLVD. #200
MARION, IL 62959
Phone: (618) 993-1400
Type: Mailing
502 W SAINT LOUIS ST
WEST FRANKFORT, IL 628961968
Phone: (618) 937-3400
Fax: (618) 937-3407
Type: Location
905 S PARK AVE
HERRIN, IL 629484112
Phone: (618) 988-6000
Fax: (618) 942-7111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $1,239.
Total Amount is formed as General ($1,239) + Research ($0) + Ownership ($0) = $1,239.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($631).
Total Amount
$1,239
General + Research + Ownership
Payments
39
Total payment records
General Amount
$1,239
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $631 |
| Novo Nordisk Inc | $200 |
| Abbott Laboratories | $183 |
| Axsome Therapeutics, Inc. | $139 |
| Lilly USA, LLC | $37 |
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: 2013-08-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1012 days ago).
Enrollment records
1
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| I20130812000092 | I | Physician Assistant | IL | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 156 | 41 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 22 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 14 | $0 |
Insurance plans in this area (ZIP 62959)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL |
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