MS. MARY ALLISON ENDICOTT (PA-C) – Surgical Physician Assistant, NPI 1831482355
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for MS. MARY ALLISON ENDICOTT (PA-C)
1206 W SHERMAN AVE
VINELAND, NJ 083606911
Phone: (856) 696-9933
Fax: (856) 696-9939
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $266.
Total Amount is formed as General ($266) + Research ($0) + Ownership ($0) = $266.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Novo Nordisk Inc ($53).
Total Amount
$266
General + Research + Ownership
Payments
13
Total payment records
General Amount
$266
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $53 |
| Davol Inc. | $50 |
| Mozarc Medical US LLC | $36 |
| KCI USA, Inc. | $23 |
| Teleflex LLC | $20 |
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: 2011-08-25
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 |
|---|---|---|---|---|
| I20110825000012 | I | Physician Assistant | NJ | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 38 | $0 |
Insurance plans in this area (ZIP 08360)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NJ | |
| Vascular Surgery | NJ | |
| Pulmonary Disease, Sleep Medicine, Critical Care (Intensivists) | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Family Practice | NJ | |
| Physician Assistant | NJ | |
| - | NJ | |
| Internal Medicine, Gastroenterology | NJ | |
| Family Practice | NJ | |
| P S Y C H I A T R Y | NJ |
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