MR. BEREKET T WOLDEMARIAM (PA-C) – Physician Assistant, NPI 1578950119
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. BEREKET T WOLDEMARIAM (PA-C)
PO BOX 1215
ATTN CLINIC BILLING OFFICE
LIBERAL, KS 679051215
Phone: (620) 629-6638
Fax: (620) 629-6684
Type: Mailing
315 W 15TH ST
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)
CMS reports 4 Open Payments records for all available years, with a total value of $88.
Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.
Last reported payment date: 2024-08-09 • Largest payer in this snapshot: ABBVIE INC. ($47).
Total Amount
$88
General + Research + Ownership
Payments
4
Total payment records
General Amount
$88
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $47 |
| Janssen Pharmaceuticals, Inc | $23 |
| Paratek Pharmaceuticals, Inc. | $18 |
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: 2022-11-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20210621000929 | I | Physician Assistant | MD | TBD |
| I20210628002364 | I | Physician Assistant | DC | TBD |
| I20221102000116 | I | Physician Assistant | VA | 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 |
|---|---|---|---|---|
| 99239 | Hospital discharge day management, more than 30 minutes | 353 | 341 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 314 | 183 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 261 | 183 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 95 | 95 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 48 | 48 | $0 |
Insurance plans in this area (ZIP 67905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MD | |
| Critical Care (Intensivists), General Surgery | MD | |
| Internal Medicine | VA | |
| Hospitalist, Internal Medicine, Internal Medicine | MD | |
| - | AZ | |
| - | MD | |
| Emergency Medicine | NV | |
| Critical Care (Intensivists), Internal Medicine | NJ | |
| Physician Assistant | MD | |
| - | MD |
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