MRS. LAINE ELAM (PAC) – Physician Assistant, NPI 1265516751
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MRS. LAINE ELAM (PAC)
2525 W UNIVERSITY AVE STE 402
MUNCIE, IN 473033409
Phone: (765) 747-6090
Fax: (765) 747-5069
Type: Location
3500, West Purdue Avenue, Andersonville, Muncie, Delaware County, Indiana, 47304, United States
MUNCIE, IN 473046357
Phone: (765) 747-6090
Fax: (765) 747-5069
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $509.
Total Amount is formed as General ($509) + Research ($0) + Ownership ($0) = $509.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($266).
Total Amount
$509
General + Research + Ownership
Payments
33
Total payment records
General Amount
$509
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $266 |
| Incyte Corporation | $63 |
| Lilly USA, LLC | $49 |
| GENZYME CORPORATION | $46 |
| Regeneron Healthcare Solutions, Inc. | $25 |
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: 2019-10-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040505000656 | I | Physician Assistant | IN | TBD |
| I20190605002683 | I | Physician Assistant | MT | TBD |
| I20191001002792 | I | Physician Assistant | WY | 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 | 1,148 | 298 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 968 | 825 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 538 | 462 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 459 | 459 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 230 | 224 | $0 |
Insurance plans in this area (ZIP 47303)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IN | 11101 | Biopsy of each additional growth of skin and/or tissue | 38 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ND | |
| D E R M A T O L O G Y | CO | |
| Physician Assistant | CA |
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