KATHERINE JO TUPPER (PA-C) – Physician Assistant, NPI 1093575813
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
Provider Addresses for KATHERINE JO TUPPER (PA-C)
2430 FAYETTE AVE
IONIA, IA 506459576
Phone:
Type: Mailing
350 NE 36TH ST
ANKENY, IA 500216728
Phone: (515) 224-1414
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $1,668.
Total Amount is formed as General ($1,668) + Research ($0) + Ownership ($0) = $1,668.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Prism Medical ($1,145).
Total Amount
$1,668
General + Research + Ownership
Payments
21
Total payment records
General Amount
$1,668
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Prism Medical | $1,145 |
| Arthrex, Inc. | $460 |
| Stryker Corporation | $24 |
| Pacira Pharmaceuticals Incorporated | $20 |
| Zimmer Biomet Holdings, Inc. | $19 |
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: 2024-04-02
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 |
|---|---|---|---|---|
| I20240402003116 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50645)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | IA | |
| - | MI | |
| Orthopedic Surgery | IA | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | IA | |
| A N E S T H E S I O L O G Y | IA | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| - | FL |
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