BRYAR A BEQUETTE (PA-C) – Medical Physician Assistant, NPI 1972161206

BRYAR A BEQUETTE (PA-C) is a healthcare provider. based in Ballwin, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2019017143 (MO). The NPI Number for BRYAR A BEQUETTE (PA-C) is 1972161206

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
BRYAR A BEQUETTE (PA-C)
NPI
1972161206
Phone
(314) 238-6527
Address
452 SOVEREIGN CT
Enumeration Date
1 June 2019
Last Update Date
5 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6362398000
Graduation Year
2019 (7 years ago)
PAC ID
4587995048
Group Practice PAC ID
3779479019
Professional Enrollment ID
I20191014003656
Address ID
MO630903127WA901XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for BRYAR A BEQUETTE (PA-C)

  • 452 SOVEREIGN CT

    BALLWIN, MO 630114447

    Phone: (314) 238-6527

    Type: Mailing

  • 452 Sovereign Ct

    Ballwin, MO 630114447

    Phone: (314) 238-6527

    Type: Location

  • PO BOX 776084

    CHICAGO, IL 606776084

    Phone: (636) 390-1684

    Fax: (636) 231-3644

    Type: Mailing

  • 901 PATIENTS FIRST DR STE 2000

    WASHINGTON, MO 630904700

    Phone: (636) 390-1684

    Fax: (636) 231-3644

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 186 Open Payments records for all available years, with a total value of $3,437.

Total Amount is formed as General ($3,437) + Research ($0) + Ownership ($0) = $3,437.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: ABBVIE INC. ($488).

Total Amount

$3,437

General + Research + Ownership

Payments

186

Total payment records

General Amount

$3,437

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-10-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191014003656IPhysician AssistantMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1602Injection, golimumab, 1 mg, for intravenous use2,95011$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg14819$0
99214Established patient office or other outpatient visit, 30-39 minutes9082$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance3726$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less2415$0
View full utilization report →

Insurance plans in this area (ZIP 63011)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779479019View full group profile
NameSpecialtyState
Nurse PractitionerMO
Emergency MedicineMO
O B S T E T R I C S/ G Y N E C O L O G YMO
-MO
Qualified AudiologistMO
Clinical Social WorkerMO
Emergency MedicineMO
-MO
Nurse PractitionerMO
Qualified AudiologistOR

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for BRYAR A BEQUETTE (PA-C)?
The registry entry for BRYAR A BEQUETTE (PA-C) shows NPI 1972161206.
Is BRYAR A BEQUETTE (PA-C)'s NPI status active today?
Active status means BRYAR A BEQUETTE (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say BRYAR A BEQUETTE (PA-C) does?
Insurance directories may phrase it differently, but here BRYAR A BEQUETTE (PA-C) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit BRYAR A BEQUETTE (PA-C) in Ballwin, Missouri?
For routing, start with Ballwin, Missouri for BRYAR A BEQUETTE (PA-C), then verify phone and hours locally.
Can I export BRYAR A BEQUETTE (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

MRS. ASEEMA -- SONGSTAD (PA-C)

Medical Physician Assistant
324, Panhurst Court, Westbrooke Woods Addition, Ballwin, Saint Louis County, Missouri, 63021, United States
NPI: 1760446249

MR. LUIS GERARDO GOMEZ (PA-C)

Medical Physician Assistant
416, Terrington Drive, Westbrooke Woods, Ballwin, Saint Louis County, Missouri, 63021, United States
NPI: 1316977994

PA STAFFING LLC

Medical Physician Assistant
408 BALLWIN AVE
NPI: 1205232915

DAVID N FISHER (PA-C)

Medical Physician Assistant
1719, Wishingwell Drive, Brookdale Estates, Saint Louis County, Missouri, 63146, United States
NPI: 1144786351

MUSTAFA AHMED

Student in an Organized Health Care Education/Training Program
79 ARBOR HOLLOW CT
NPI: 1548881659

MEGAN B PATTON (PA-C)

Student in an Organized Health Care Education/Training Program
23068 LAWRENCE 1200
NPI: 1649893546

AUSTIN COMBS (PA-C)

Student in an Organized Health Care Education/Training Program
3697 GREAT LAKES DR APT A
NPI: 1568085231

ELIAS HELAL (MD)

Student in an Organized Health Care Education/Training Program
452 SOVEREIGN CT STE A
NPI: 1639785470