ASEFA K GEBRE (PSYCH CAQ DMSC,PA-C) – Physician Assistant, NPI 1700245628
Physician Assistant
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,871 PHYSICIAN ASSISTANT in MO
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Provider Addresses for ASEFA K GEBRE (PSYCH CAQ DMSC,PA-C)
327, East Airport Drive, Carthage, Jasper County, Missouri, 64836, United States
CARTHAGE, MO 648363402
Phone: (417) 237-0604
Fax: (417) 237-0613
Type: Mailing
215 E 3RD ST
CARTHAGE, MO 648361661
Phone: (417) 237-0604
Fax: (417) 237-0613
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $1,186.
Total Amount is formed as General ($1,186) + Research ($0) + Ownership ($0) = $1,186.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($295).
Total Amount
$1,186
General + Research + Ownership
Payments
64
Total payment records
General Amount
$1,186
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $295 |
| Medical Device Business Services, Inc. | $137 |
| Novo Nordisk Inc | $122 |
| Otsuka America Pharmaceutical, Inc. | $105 |
| Lilly USA, LLC | $72 |
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: 2016-04-01
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20160401002059 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64836)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Clinical Psychologist | MO | |
| Nurse Practitioner | AR | |
| - | OK | |
| Nurse Practitioner | MO | |
| Clinical Social Worker | MO | |
| - | MO | |
| - | MO |
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