MAURICIO JOSE PASQUALE (PA-C) – Physician Assistant, NPI 1609170018
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for MAURICIO JOSE PASQUALE (PA-C)
PO BOX 104240
JEFFERSON CITY, MO 651104240
Phone:
Type: Mailing
1225 W STADIUM BLVD
JEFFERSON CITY, MO 651096003
Phone: (573) 635-8000
Fax: (573) 556-1710
Type: Location
304A E 4TH ST
ELDON, MO 650261808
Phone: (573) 557-2400
Fax: (573) 557-2401
Type: Location
54 HOSPITAL DR
OSAGE BEACH, MO 650653050
Phone: (573) 348-8000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $265.
Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($59).
Total Amount
$265
General + Research + Ownership
Payments
15
Total payment records
General Amount
$265
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 |
|---|---|
| ABBVIE INC. | $59 |
| Phathom Pharmaceuticals, Inc. | $34 |
| Kowa Pharmaceuticals America, Inc. | $33 |
| Lilly USA, LLC | $33 |
| Davol Inc. | $23 |
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: 2018-03-28
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 |
|---|---|---|---|---|
| I20180328000042 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 132 | 16 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 52 | 33 | $0 |
| 73560 | X-ray of knee, 1-2 views | 45 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 24 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 19 | 19 | $0 |
Insurance plans in this area (ZIP 65110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Nurse Practitioner | MO | |
| N E U R O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Hematology/Oncology, Internal Medicine | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO |
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