BEAU BRADLEY SORENSON (PA) – Physician Assistant, NPI 1023727757
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
Provider Addresses for BEAU BRADLEY SORENSON (PA)
PO BOX 2758
WATERLOO, IA 507042758
Phone: (319) 235-5390
Type: Mailing
4612 PRAIRIE PKWY
CEDAR FALLS, IA 506137971
Phone: (319) 859-8139
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 $362.
Total Amount is formed as General ($362) + Research ($0) + Ownership ($0) = $362.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($173).
Total Amount
$362
General + Research + Ownership
Payments
12
Total payment records
General Amount
$362
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
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: 2023-02-07
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 |
|---|---|---|---|---|
| I20230207000856 | 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 |
|---|---|---|---|---|
| J1040 | Injection, methylprednisolone acetate, 80 mg | 307 | 143 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 188 | 156 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 82 | 76 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 54 | 53 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 39 | $0 |
Insurance plans in this area (ZIP 50704)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| - | IA | |
| O P T O M E T R Y | IA | |
| - | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| Nurse Practitioner | MN |
Reviews
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