GERALD W CLEVENGER (PAC) – Physician Assistant, NPI 1083610646
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
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Provider Addresses for GERALD W CLEVENGER (PAC)
800 RAVENHILL DR
ATCHISON, KS 660029204
Phone: (913) 367-2131
Fax: (913) 674-2024
Type: Mailing
311, West Locust Street, Troy, Doniphan County, Kansas, 66087, United States
TROY, KS 66087
Phone: (785) 985-3504
Fax: (785) 985-3813
Type: Location
1903 Euclid Ave
Horton, KS 664391238
Phone: (785) 486-2468
Type: Location
1004 Progress Dr Ste 180&145
Lansing, KS 660436326
Phone: (913) 297-3215
Type: Location
300 Utah St Ste 200
Hiawatha, KS 664342314
Phone: (785) 742-2161
Type: Location
415 W Main St
Highland, KS 660354143
Phone: (785) 442-3213
Type: Location
800 Ravenhill Dr Ste 100&107
Atchison, KS 660029204
Phone: (913) 367-7300
Fax: (913) 674-2030
Type: Location
801 Atchison St
Atchison, KS 660022352
Phone: (913) 367-5020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2023-03-14 • Largest payer in this snapshot: ABBVIE INC. ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $22 |
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: 2005-05-31
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 |
|---|---|---|---|---|
| I20050531000532 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| Diagnostic Radiology | KS |
Reviews
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