KATRINA J. PAULSON (PA-C) – Physician Assistant, NPI 1124199724
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for KATRINA J. PAULSON (PA-C)
120 Hospital Dr
Suite 100
Lebanon, MO 655369238
Phone: (417) 533-6751
Fax: (417) 533-6755
Type: Location
25th Street South, Great Falls, Cascade County, Montana, 59405, United States
GREAT FALLS, MT 594055183
Phone: (406) 455-5000
Fax: (406) 731-8876
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $1,076.
Total Amount is formed as General ($1,076) + Research ($0) + Ownership ($0) = $1,076.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($312).
Total Amount
$1,076
General + Research + Ownership
Payments
51
Total payment records
General Amount
$1,076
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $312 |
| GlaxoSmithKline, LLC. | $91 |
| Amgen Inc. | $73 |
| Corcept Therapeutics | $72 |
| Daiichi Sankyo Inc. | $49 |
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: 2011-07-21
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 |
|---|---|---|---|---|
| I20110721000438 | I | Physician Assistant | MT | 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 | 325 | 194 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 207 | 165 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 182 | 182 | $0 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 40 | 36 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 27 | 23 | $0 |
Insurance plans in this area (ZIP 65536)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MT | |
| Certified Registered Nurse Anesthetist (Crna) | MT | |
| A N E S T H E S I O L O G Y | MT | |
| Emergency Medicine | OH | |
| Physician Assistant | MT | |
| - | MT | |
| N E U R O L O G Y | MT | |
| D E R M A T O L O G Y | MT | |
| Diagnostic Radiology | MT | |
| - | MT |
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