MISS ALEXANDRA KATHERINE PANTELIOS (P.A.) – Medical Physician Assistant, NPI 1376562397
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,360 PHYSICIAN ASSISTANT in NY
Provider Addresses for MISS ALEXANDRA KATHERINE PANTELIOS (P.A.)
475 Seaview Ave
Staten Island, NY 103053436
Phone: (718) 226-9399
Type: Location
1900 S TUTTLE AVE
SARASOTA, FL 342393114
Phone: (941) 330-8885
Type: Location
99 IDLEBROOK LN
ABERDEEN, NJ 077471739
Phone: (718) 702-2321
Type: Mailing
Staten Island University Hospital, 475, Seaview Avenue, Dongan Hills, Staten Island, New York, 10305, United States
STATEN ISLAND, NY 103053436
Phone: (718) 226-9399
Type: Location
753, Delafield Avenue, Staten Island, Richmond County, New York, 10310, United States
STATEN ISLAND, NY 103102236
Phone: (718) 876-7453
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $47.
Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Smith+Nephew, Inc. ($35).
Total Amount
$47
General + Research + Ownership
Payments
2
Total payment records
General Amount
$47
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $35 |
| Organon LLC | $12 |
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: 2026-03-12
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20161031001784 | I | Physician Assistant | NY | TBD |
| I20260312000773 | I | Physician Assistant | FL | 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 10305)
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