MERCEDES B CASTELLANOS-PITCOCK (PA-C) – Physician Assistant, NPI 1164894697
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MERCEDES B CASTELLANOS-PITCOCK (PA-C)
1111 Ronald Reagan Pkwy
Avon, IN 461237085
Phone: (317) 217-3540
Fax: (317) 217-3551
Type: Location
1701 N Senate Blvd
Indianapolis, IN 462021239
Phone: (888) 484-3258
Type: Location
250 N SHADELAND AVE STE 200
INDIANAPOLIS, IN 462194959
Phone: (317) 962-3834
Type: Mailing
1040 SIERRA DR STE 400
GREENWOOD, IN 461437241
Phone: (317) 528-4800
Type: Mailing
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
7855 S EMERSON AVE STE P
INDIANAPOLIS, IN 462378669
Phone: (317) 781-7343
Fax: (317) 788-4746
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $880.
Total Amount is formed as General ($880) + Research ($0) + Ownership ($0) = $880.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($552).
Total Amount
$880
General + Research + Ownership
Payments
12
Total payment records
General Amount
$880
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
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: 2015-11-18
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 |
|---|---|---|---|---|
| I20151118000909 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 203 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 53 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 64 | 61 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 61 | 50 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 58 | 46 | $0 |
Insurance plans in this area (ZIP 46123)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IN | |
| - | IN | |
| D E R M A T O L O G Y | IN | |
| D E R M A T O L O G Y | IN | |
| D E R M A T O L O G Y | IN | |
| D E R M A T O L O G Y | IN | |
| - | IN |
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