MARLON S BAZAN (PA-C) – Medical Physician Assistant, NPI 1306329438
Medical 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 MARLON S BAZAN (PA-C)
PO BOX 1340
LIBERAL, KS 679051340
Phone: (620) 629-6638
Fax: (620) 629-6684
Type: Mailing
SouthWest Medical Center, 315, West 15th Street, Liberal, Seward County, Kansas, 67901, United States
LIBERAL, KS 679012455
Phone: (620) 629-6477
Fax: (620) 629-6651
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-09-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20181025001983 | I | Physician Assistant | KS | TBD |
| I20200425000238 | I | Physician Assistant | ND | TBD |
| I20200720000160 | I | Physician Assistant | CA | TBD |
| I20240923001120 | I | Physician Assistant | WY | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 97 | 97 | $0 |
Insurance plans in this area (ZIP 67905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| Internal Medicine | UT | |
| Nurse Practitioner | UT | |
| Internal Medicine | LA | |
| Physician Assistant | WA | |
| Nurse Practitioner | ID | |
| Internal Medicine | WY | |
| Emergency Medicine | UT | |
| - | WY | |
| Hospitalist, Family Practice | IA |
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