ANDREW LEE WOODBURY (PA-C) – Physician Assistant, NPI 1407628860
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for ANDREW LEE WOODBURY (PA-C)
7195 ADVANCED WAY
LAS VEGAS, NV 891133691
Phone: (702) 740-5327
Fax: (702) 740-5328
Type: Mailing
2904 W Horizon Ridge Pkwy Ste 101
Henderson, NV 890525016
Phone: (702) 740-5327
Fax: (702) 740-5328
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $1,064.
Total Amount is formed as General ($1,064) + Research ($0) + Ownership ($0) = $1,064.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Forte Bio-Pharma LLC ($530).
Total Amount
$1,064
General + Research + Ownership
Payments
38
Total payment records
General Amount
$1,064
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Forte Bio-Pharma LLC | $530 |
| Collegium Pharmaceutical, Inc. | $260 |
| IBSA Pharma Inc. | $93 |
| Bioventus LLC | $80 |
| Radius Health, Inc. | $80 |
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: 2024-03-06
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 |
|---|---|---|---|---|
| I20240306000912 | I | Physician Assistant | NV | 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 89113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | NV | |
| Physician Assistant | NV | |
| - | MA | |
| Physician Assistant | CA | |
| Orthopedic Surgery | NV | |
| Orthopedic Surgery | NV | |
| Physician Assistant | NV | |
| P O D I A T R Y | NV | |
| Orthopedic Surgery | CA | |
| P O D I A T R Y | NV |
Reviews
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