SAMUEL BRUCE AITCHISON (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1750949368

SAMUEL BRUCE AITCHISON (PHYSICIAN ASSISTANT) is a healthcare provider. based in El dorado, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. K15-02254 (KS). The NPI Number for SAMUEL BRUCE AITCHISON (PHYSICIAN ASSISTANT) is 1750949368

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL BRUCE AITCHISON (PHYSICIAN ASSISTANT)
NPI
1750949368
Phone
(316) 452-5113
Address
700 W CENTRAL AVE STE 206
Enumeration Date
30 May 2019
Last Update Date
13 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
1557693645
Group Practice PAC ID
7719898980
Professional Enrollment ID
I20191022002586
Address ID
KS670422112EL720XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for SAMUEL BRUCE AITCHISON (PHYSICIAN ASSISTANT)

  • 700 W CENTRAL AVE STE 206

    EL DORADO, KS 670422186

    Phone: (316) 452-5113

    Fax: (316) 452-5694

    Type: Location

  • 700, West Central Avenue, El Dorado, Butler County, Kansas, 67042, United States

    EL DORADO, KS 670422184

    Phone: (316) 452-5113

    Fax: (316) 452-5694

    Type: Location

  • 1520 W Savage Ct

    Andover, KS 670027501

    Phone: (850) 776-0422

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 144 Open Payments records for all available years, with a total value of $2,230.

Total Amount is formed as General ($2,230) + Research ($0) + Ownership ($0) = $2,230.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($452).

Total Amount

$2,230

General + Research + Ownership

Payments

144

Total payment records

General Amount

$2,230

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2019-10-22

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
I20191022002586IPhysician AssistantKSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes234177$0
36415Insertion of needle into vein for collection of blood sample13087$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count7263$0
99214Established patient office or other outpatient visit, 30-39 minutes5746$0
81003Automated urinalysis test4235$0
View full utilization report →

Insurance plans in this area (ZIP 67042)

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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: 7719898980View full group profile
NameSpecialtyState
Physician AssistantKS
Physician AssistantKS
Family PracticeKS
Physician AssistantKS
-KS
Nurse PractitionerKS
Internal MedicineKS
Nurse PractitionerKS
Physician AssistantKS
Physician AssistantKS

Reviews

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Frequently asked questions

What unique ID ties claims to SAMUEL BRUCE AITCHISON (PHYSICIAN ASSISTANT)?
NPI 1750949368 is assigned to SAMUEL BRUCE AITCHISON (PHYSICIAN ASSISTANT) under the national enumeration system.
Is SAMUEL BRUCE AITCHISON (PHYSICIAN ASSISTANT)'s NPI currently valid?
The extract we use shows SAMUEL BRUCE AITCHISON (PHYSICIAN ASSISTANT) as active.
Can you summarize SAMUEL BRUCE AITCHISON (PHYSICIAN ASSISTANT)'s specialty in plain language?
Clinically, the directory lists SAMUEL BRUCE AITCHISON (PHYSICIAN ASSISTANT) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place SAMUEL BRUCE AITCHISON (PHYSICIAN ASSISTANT)?
The snapshot lists El Dorado, Kansas for SAMUEL BRUCE AITCHISON (PHYSICIAN ASSISTANT); download NPPES for the complete set.
Is SAMUEL BRUCE AITCHISON (PHYSICIAN ASSISTANT) a real provider?
This page reflects official NPPES data for NPI 1750949368. Always confirm identity and privileges with the practice and licensing boards.

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