ABBIE M. PORT (PA-C) – Physician Assistant, NPI 1174752927
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ABBIE M. PORT (PA-C)
855 A AVE NE STE 105
CEDAR RAPIDS, IA 524025060
Phone: (319) 368-5992
Fax: (319) 369-8251
Type: Mailing
400, South Blairsferry Crossing, Heritage Creek, Hiawatha, Linn County, Iowa, 52233, United States
SUITE A
HIAWATHA, IA 522337988
Phone: (319) 393-0783
Fax: (319) 393-0427
Type: Mailing
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 $133.
Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ABBVIE INC. ($54).
Total Amount
$133
General + Research + Ownership
Payments
6
Total payment records
General Amount
$133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $54 |
| PFIZER INC. | $49 |
| VERTEX PHARMACEUTICALS INCORPORATED | $17 |
| Merz Pharmaceuticals, LLC | $13 |
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: 2009-09-23
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20090923000180 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 171 | 128 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 123 | 80 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 100 | 100 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 76 | 29 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 39 | 15 | $0 |
Insurance plans in this area (ZIP 52402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Family Practice | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| A N E S T H E S I O L O G Y | IA | |
| - | IA | |
| Physical Therapist In Private Practice | IA | |
| Nurse Practitioner | IA | |
| - | IL |
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