MOLLIE MARGARET MORTENSON (PA-C) – Physician Assistant, NPI 1073965240
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,649 PHYSICIAN ASSISTANT in IA
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Provider Addresses for MOLLIE MARGARET MORTENSON (PA-C)
Des Moines Orthopaedic Surgeons, 6001, Westown Parkway, West Lakes Office Park, West Des Moines, Dallas County, Iowa, 50266, United States
WEST DES MOINES, IA 502667702
Phone: (515) 224-1414
Fax: (515) 224-5140
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $136.
Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.
Last reported payment date: 2024-08-19 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($35).
Total Amount
$136
General + Research + Ownership
Payments
6
Total payment records
General Amount
$136
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-19
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: 2016-08-29
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 |
|---|---|---|---|---|
| I20160829002458 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,804 | 111 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 110 | 68 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 98 | 61 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 36 | 30 | $0 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 23 | 22 | $0 |
Insurance plans in this area (ZIP 50266)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| Nurse Practitioner | IA | |
| Physical Therapist In Private Practice | IA | |
| Orthopedic Surgery | IA | |
| Physician Assistant | IA | |
| - | IA | |
| Orthopedic Surgery | IA | |
| Physician Assistant | IA | |
| Physical Medicine And Rehabilitation | IA | |
| Orthopedic Surgery | IA |
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