MRS. ELIZABETH MAURENE LAUTERBACH (PA-C) – Physician Assistant, NPI 1932535846
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. ELIZABETH MAURENE LAUTERBACH (PA-C)
1200 E PECAN ST
ALTUS, OK 735216141
Phone: (580) 379-5000
Fax: (580) 379-5509
Type: Mailing
9211 E 21ST ST N
WICHITA, KS 672062900
Phone: (316) 527-4804
Type: Mailing
205 S PARK LN
ALTUS, OK 735215755
Phone: (580) 379-6650
Fax: (580) 379-6659
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $595.
Total Amount is formed as General ($595) + Research ($0) + Ownership ($0) = $595.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Corium, LLC ($184).
Total Amount
$595
General + Research + Ownership
Payments
26
Total payment records
General Amount
$595
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $184 |
| Incyte Corporation | $122 |
| GlaxoSmithKline, LLC. | $73 |
| Lilly USA, LLC | $53 |
| AstraZeneca Pharmaceuticals LP | $46 |
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: 2023-07-28
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 |
|---|---|---|---|---|
| I20230728002090 | I | Physician Assistant | KS | 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 73521)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Hospitalist, Internal Medicine | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Clinical Social Worker | OK | |
| Family Practice | OK | |
| - | OK | |
| Family Practice | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Family Practice | OK | |
| - | LA |
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