ELIZA ANDERSON ABRAHAM (PA-C) – Medical Physician Assistant, NPI 1699437145
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for ELIZA ANDERSON ABRAHAM (PA-C)
4480 CENTERVILLE RD
WHITE BEAR LAKE, MN 55127
Phone: (651) 484-2724
Fax: (651) 484-2723
Type: Mailing
5251 BIRCH RD
MINNETONKA, MN 553454306
Phone: (612) 810-4069
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $5,795.
Total Amount is formed as General ($5,795) + Research ($0) + Ownership ($0) = $5,795.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Janssen Biotech, Inc. ($5,181).
Total Amount
$5,795
General + Research + Ownership
Payments
46
Total payment records
General Amount
$5,795
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $5,181 |
| ABBVIE INC. | $104 |
| Paratek Pharmaceuticals, Inc. | $46 |
| GENZYME CORPORATION | $42 |
| Biofrontera Inc. | $36 |
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: 2022-10-19
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 |
|---|---|---|---|---|
| I20221019003340 | I | Physician Assistant | MN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 508 | 91 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 305 | 202 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 201 | 131 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 162 | 127 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 115 | 84 | $0 |
Insurance plans in this area (ZIP 55127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| D E R M A T O L O G Y | TX | |
| Dermatology, Dermatology, Pathology | VA | |
| Physician Assistant | MN | |
| Nurse Practitioner | MI | |
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | MN | |
| Physician Assistant | IN | |
| - | IN | |
| Physician Assistant | IL |
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