MRS. CLEO BECKHAM (PA) – Physician Assistant, NPI 1245223213

MRS. CLEO BECKHAM (PA) is a healthcare provider. based in Council bluffs, Iowa. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 001350 (IA). The NPI Number for MRS. CLEO BECKHAM (PA) is 1245223213

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CLEO BECKHAM (PA)
NPI
1245223213
Phone
(712) 396-4320
Address
201 RIDGE ST
Enumeration Date
25 August 2005
Deactivation Date
27 March 2006
Reactivation Date
10 April 2006
Last Update Date
1 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
3274599766
Group Practice PAC ID
4880506062
Professional Enrollment ID
I20041207000210
Address ID
IA515034643CO201XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,648 PHYSICIAN ASSISTANT in IA

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Provider Addresses for MRS. CLEO BECKHAM (PA)

  • Council Bluffs, Pottawattamie County, Iowa, United States

    SUITE 214

    COUNCIL BLUFFS, IA 515034643

    Phone: (712) 396-4320

    Fax: (712) 396-4328

    Type: Location

  • PO BOX 3755

    OMAHA, NE 681030755

    Phone: (402) 354-2100

    Fax: (402) 354-2155

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,125.

Total Amount is formed as General ($1,125) + Research ($0) + Ownership ($0) = $1,125.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Integra LifeSciences Corporation ($773).

Total Amount

$1,125

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-12-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041207000210IPhysician AssistantIATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6752$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2719$0
View full utilization report →

Insurance plans in this area (ZIP 51503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880506062View full group profile
NameSpecialtyState
-IA
N E U R O L O G YNE
Family Practice, HospitalistIA
Nurse PractitionerNE
Internal MedicineNE
O B S T E T R I C S/ G Y N E C O L O G YNE
Infectious DiseaseNE
-NE
O B S T E T R I C S/ G Y N E C O L O G YNH
Cardiovascular Disease (Cardiology), Internal MedicineNE

Reviews

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Frequently asked questions

How do payers reference MRS. CLEO BECKHAM (PA)?
For MRS. CLEO BECKHAM (PA), use NPI 1245223213 as the unique 10-digit identifier.
Active or inactive — what applies to MRS. CLEO BECKHAM (PA)?
You should see MRS. CLEO BECKHAM (PA) as active in CMS-hosted NPPES data.
What clinical focus is listed for MRS. CLEO BECKHAM (PA)?
At a glance, MRS. CLEO BECKHAM (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. CLEO BECKHAM (PA)?
Travel planning: use Council Bluffs, Iowa as the reference point for MRS. CLEO BECKHAM (PA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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