MR. ANDREW ZACHARY DALE (PA-C) – Physician Assistant, NPI 1043739360
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
Provider Addresses for MR. ANDREW ZACHARY DALE (PA-C)
10701 NALL AVE STE 200
OVERLAND PARK, KS 662111358
Phone: (913) 381-5225
Type: Location
10616, East Bannister Road, Robandee, Union Point, Kansas City, Jackson County, Missouri, 64134, United States
KANSAS CITY, MO 641342358
Phone: (405) 213-5787
Type: Mailing
Hodgeman County Health Center, 809, West Bramley Street, Jetmore, Hodgeman County, Kansas, 67854, United States
JETMORE, KS 678549320
Phone: (620) 357-8361
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 $220.
Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($159).
Total Amount
$220
General + Research + Ownership
Payments
12
Total payment records
General Amount
$220
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ferring Pharmaceuticals Inc. | $159 |
| Bioventus LLC | $34 |
| Radius Health, Inc. | $27 |
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: 2017-11-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20171027000235 | I | Physician Assistant | MO | TBD |
| I20171113000750 | I | Physician Assistant | KS | 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 | 116 | 111 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 107 | 30 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 69 | 69 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 36 | $0 |
| 73564 | X-ray of knee, 4 or more views | 36 | 36 | $0 |
Insurance plans in this area (ZIP 66211)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| Orthopedic Surgery, Sports Medicine | KS | |
| - | MO | |
| Nurse Practitioner | MO | |
| Orthopedic Surgery | KS | |
| Physician Assistant | KS | |
| Physical Medicine And Rehabilitation | MO | |
| - | MO |
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