PAIGE ELIZABETH BEVERLY (PA-C) – Dermatology Physician, NPI 1962869313
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
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Provider Addresses for PAIGE ELIZABETH BEVERLY (PA-C)
301, North Western Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73106, United States
OKLAHOMA CITY, OK 731141432
Phone: (405) 947-6647
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 5 Open Payments records for all available years, with a total value of $117.
Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($70).
Total Amount
$117
General + Research + Ownership
Payments
5
Total payment records
General Amount
$117
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. | $70 |
| Sun Pharmaceutical Industries Inc. | $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: 2016-04-29
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 |
|---|---|---|---|---|
| I20160429000626 | I | Physician Assistant | OK | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,944 | 296 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 953 | 609 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 539 | 377 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 409 | 344 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 376 | 376 | $0 |
Insurance plans in this area (ZIP 73114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OK |
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