MR. ALBERT JOHN III UMBACH (PA-C) – Physician Assistant, NPI 1013912138
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for MR. ALBERT JOHN III UMBACH (PA-C)
2200 E Parrish Ave
BLDG D SUITE 100
Owensboro, KY 423031449
Phone: (270) 688-1770
Fax: (270) 688-1781
Type: Location
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
1 HOSPITAL DR
COLUMBIA, MO 652120001
Phone: (573) 882-8091
Fax: (573) 884-1902
Type: Location
2200, East Parrish Avenue, Owensboro, Daviess County, Kentucky, 42303, United States
BLDG D SUITE 100
OWENSBORO, KY 423031449
Phone: (270) 688-1770
Fax: (270) 688-1781
Type: Mailing
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
355 W 16th St Ste 5100
Indianapolis, IN 462022274
Phone: (317) 963-1300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $133.
Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($98).
Total Amount
$133
General + Research + Ownership
Payments
3
Total payment records
General Amount
$133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $98 |
| DePuy Synthes Sales Inc. | $18 |
| Ethicon US, LLC | $17 |
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: 2009-12-15
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 |
|---|---|---|---|---|
| I20040709000873 | I | Physician Assistant | IN | TBD |
| I20091215000184 | I | Physician Assistant | KY | 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 |
|---|---|---|---|---|
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 33 | 33 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 25 | 20 | $0 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 24 | 16 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 16 | 14 | $0 |
| 22630 | Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc | 16 | 15 | $0 |
Insurance plans in this area (ZIP 42303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| N E U R O S U R G E R Y | KY | |
| N E U R O S U R G E R Y | KY | |
| N E U R O S U R G E R Y | KY | |
| - | KY | |
| Physician Assistant | IN | |
| Physician Assistant | KY | |
| N E U R O S U R G E R Y | OR | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN |
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