ANDREW EBNER – Physician Assistant, NPI 1225709280

ANDREW EBNER is a healthcare provider. based in Corbin, Kentucky. specializing in PHYSICIAN ASSISTANT. The NPI Number for ANDREW EBNER is 1225709280

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW EBNER
NPI
1225709280
Phone
(606) 528-7010
Address
PO BOX 568
Enumeration Date
21 September 2021
Last Update Date
21 September 2021

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
6062484949
Graduation Year
2021 (5 years ago)
PAC ID
5698168870
Group Practice PAC ID
4587561790
Professional Enrollment ID
I20220210002719
Address ID
KY409651762MI324XXSTXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for ANDREW EBNER

  • PO BOX 568

    CORBIN, KY 407020568

    Phone: (606) 528-7010

    Type: Mailing

  • 1203 AMERICAN GREETING CARD RD

    CORBIN, KY 407014811

    Phone: (606) 528-7010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $992.

Total Amount is formed as General ($992) + Research ($0) + Ownership ($0) = $992.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Alkermes, Inc. ($280).

Total Amount

$992

General + Research + Ownership

Payments

59

Total payment records

General Amount

$992

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2025-07-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220210002719IPhysician AssistantKYTBD
I20250708003403IPhysician AssistantSCTBD

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 minutes16341$0
99214Established patient office or other outpatient visit, 30-39 minutes1711$0
90792Psychiatric diagnostic evaluation with medical services1212$0
View full utilization report →

Insurance plans in this area (ZIP 40702)

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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: 4587561790View full group profile
NameSpecialtyState
Mental Health CounselorKY
Mental Health CounselorKY
Clinical PsychologistKY
Marriage And Family TherapistKY
Physician AssistantKY
-KY
-KY
Mental Health CounselorKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Does ANDREW EBNER have a public NPI I can cite?
Public records show ANDREW EBNER under NPI 1225709280.
Should I treat ANDREW EBNER as an active provider?
Patients and plans typically see ANDREW EBNER as active in the national extract.
Which specialty label fits ANDREW EBNER?
NPPES ties ANDREW EBNER to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANDREW EBNER?
ANDREW EBNER is associated with Corbin, Kentucky in the same public data insurers reference.
Who maintains ANDREW EBNER's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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