MALLORY ELIZABETH QUESENBERRY (PA-C) – Physician Assistant, NPI 1568009488
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,854 PHYSICIAN ASSISTANT in MO
Provider Addresses for MALLORY ELIZABETH QUESENBERRY (PA-C)
5501 NW 62ND TER STE 100
KANSAS CITY, MO 641512412
Phone: (816) 842-4440
Fax: (816) 842-1974
Type: Mailing
3601 NE RALPH POWELL RD STE C
LEES SUMMIT, MO 640642316
Phone: (816) 285-5053
Fax: (816) 842-1974
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 89 Open Payments records for all available years, with a total value of $1,775.
Total Amount is formed as General ($1,775) + Research ($0) + Ownership ($0) = $1,775.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($336).
Total Amount
$1,775
General + Research + Ownership
Payments
89
Total payment records
General Amount
$1,775
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $336 |
| ABBVIE INC. | $330 |
| Novo Nordisk Inc | $143 |
| Axsome Therapeutics, Inc. | $142 |
| PFIZER INC. | $132 |
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: 2020-03-02
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 |
|---|---|---|---|---|
| I20200302001780 | I | Physician Assistant | MO | 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 | 282 | 174 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 187 | 121 | $0 |
| 82248 | Bilirubin level, direct | 165 | 115 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 164 | 114 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 157 | 112 | $0 |
Insurance plans in this area (ZIP 64151)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Internal Medicine | MI | |
| Internal Medicine | MO | |
| Physician Assistant | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| Family Practice, Osteopathic Manipulative Medicine | MO | |
| Nurse Practitioner | MO |
Reviews
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