ELIZABETH K MENTZER (PA-C) – Physician Assistant, NPI 1578889663
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for ELIZABETH K MENTZER (PA-C)
989 GOVERNORS LN STE 240
LEXINGTON, KY 405131175
Phone: (859) 338-3958
Fax: (859) 368-8135
Type: Mailing
989 Governors Ln Ste 220
Lexington, KY 405131175
Phone: (859) 447-8014
Fax: (859) 447-8013
Type: Location
Ladish Road, Cynthiana, Harrison County, Kentucky, 41031, United States
CYNTHIANA, KY 410311564
Phone: (859) 234-8852
Fax: (859) 234-8859
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 181 Open Payments records for all available years, with a total value of $4,378.
Total Amount is formed as General ($4,378) + Research ($0) + Ownership ($0) = $4,378.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($695).
Total Amount
$4,378
General + Research + Ownership
Payments
181
Total payment records
General Amount
$4,378
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $695 |
| Otsuka America Pharmaceutical, Inc. | $653 |
| GlaxoSmithKline, LLC. | $335 |
| ITI, Inc. | $246 |
| Amgen Inc. | $218 |
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: 2010-07-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100729000041 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 60 | 24 | $0 |
Insurance plans in this area (ZIP 40513)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | KY | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 132 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Physician Assistant | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY |
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