DEVON WOOLFOLK (PA-C) – Medical Physician Assistant, NPI 1366811416
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for DEVON WOOLFOLK (PA-C)
276 W Side Mall
Edwardsville, PA 187043117
Phone: (570) 283-0791
Type: Location
610 WYOMING AVE
KINGSTON, PA 187043702
Phone: (570) 288-5441
Fax: (570) 288-5842
Type: Mailing
239 S MOUNTAIN BLVD
SUITE 100
MOUNTAIN TOP, PA 187071911
Phone: (570) 715-7950
Fax: (570) 474-0962
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $84.
Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.
Last reported payment date: 2024-04-03 • Largest payer in this snapshot: PFIZER INC. ($84).
Total Amount
$84
General + Research + Ownership
Payments
3
Total payment records
General Amount
$84
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $84 |
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: 2015-10-14
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 |
|---|---|---|---|---|
| I20151014000562 | I | Physician Assistant | PA | 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 | 138 | 128 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 94 | 94 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 72 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 55 | 53 | $0 |
| 81003 | Automated urinalysis test | 34 | 32 | $0 |
Insurance plans in this area (ZIP 18704)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | PA | 81002 | Urinalysis, manual test | 34 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Family Practice | PA | |
| Nurse Practitioner | PA | |
| Family Practice | PA | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA |
Reviews
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