BETSY LUCILLE VAN HAAFTEN (PA-C) – Medical Physician Assistant, NPI 1023609690
Medical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
Provider Addresses for BETSY LUCILLE VAN HAAFTEN (PA-C)
6500 UNIVERSITY AVE UNIT 309
DES MOINES, IA 503241664
Phone: (641) 780-0473
Type: Mailing
5705 NW 100TH ST STE 100
JOHNSTON, IA 501311813
Phone: (515) 726-3376
Fax: (515) 446-9707
Type: Location
629 228TH PL
PELLA, IA 502197617
Phone: (641) 780-0473
Type: Mailing
629 228th Pl
Pella, IA 502197617
Phone: (641) 780-0473
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $1,056.
Total Amount is formed as General ($1,056) + Research ($0) + Ownership ($0) = $1,056.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($286).
Total Amount
$1,056
General + Research + Ownership
Payments
64
Total payment records
General Amount
$1,056
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $286 |
| Sun Pharmaceutical Industries Inc. | $156 |
| Dermavant Sciences, Inc. | $153 |
| Janssen Biotech, Inc. | $132 |
| PFIZER INC. | $53 |
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: 2021-06-26
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 |
|---|---|---|---|---|
| I20210626000042 | I | Physician Assistant | IA | 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 | 121 | 25 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 65 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 62 | 58 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 61 | 61 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 38 | 34 | $0 |
Insurance plans in this area (ZIP 50324)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IA | |
| Physician Assistant | GA | |
| Physician Assistant | IA | |
| D E R M A T O L O G Y | IA |
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