MR. EUGENE A PRESTON (PA-C) – Medical Physician Assistant, NPI 1134225550
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
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Provider Addresses for MR. EUGENE A PRESTON (PA-C)
17511, Hepler Street, South Bend, Saint Joseph County, Indiana, 46635, United States
SOUTH BEND, IN 466351831
Phone: (574) 276-6248
Fax: (269) 428-2943
Type: Mailing
3800, Hollywood Road, Royalton Township, Berrien County, Michigan, 49085, United States
SAINT JOSEPH, MI 490858510
Phone: (269) 428-2552
Fax: (269) 428-2943
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 92 Open Payments records for all available years, with a total value of $1,532.
Total Amount is formed as General ($1,532) + Research ($0) + Ownership ($0) = $1,532.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Novo Nordisk Inc ($358).
Total Amount
$1,532
General + Research + Ownership
Payments
92
Total payment records
General Amount
$1,532
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $358 |
| Lilly USA, LLC | $196 |
| GlaxoSmithKline, LLC. | $138 |
| AstraZeneca Pharmaceuticals LP | $99 |
| ABBVIE INC. | $96 |
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: 2013-08-08
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 |
|---|---|---|---|---|
| I20130808000763 | I | Physician Assistant | MI | 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 | 236 | 120 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 56 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 70 | 70 | $0 |
| 83036 | Hemoglobin a1c level | 38 | 22 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 29 | 27 | $0 |
Insurance plans in this area (ZIP 46635)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Family Practice | MI |
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