ERIC BRYAN ENGEL (PA) – Physician Assistant, NPI 1659444305
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
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Provider Addresses for ERIC BRYAN ENGEL (PA)
Jackson Street, Ozark, Dale County, Alabama, 36360, United States
OZARK, MO 657219164
Phone: (417) 581-3548
Fax: (417) 581-6164
Type: Location
PO BOX 505164
SAINT LOUIS, MO 631505164
Phone: (417) 829-4620
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $101.
Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.
Last reported payment date: 2024-04-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($101).
Total Amount
$101
General + Research + Ownership
Payments
1
Total payment records
General Amount
$101
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $101 |
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: 2014-10-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (951 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20141013002506 | I | Physician Assistant | MO | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65721)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MO | 73630 | X-ray of foot, minimum of 3 views | 14 | 13 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Clinical Psychologist | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| U R O L O G Y | MO | |
| P O D I A T R Y | MO | |
| - | KS |
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