BETHANY KNORR (PA-C) – Medical Physician Assistant, NPI 1124485941
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
773 PHYSICIAN ASSISTANT in RI
Provider Addresses for BETHANY KNORR (PA-C)
PO BOX 229
WAKEFIELD, RI 028800229
Phone: (401) 788-8757
Type: Mailing
825 Chalkstone Ave
Providence, RI 029084728
Phone: (401) 456-2000
Type: Location
3461 S County Trl
East Greenwich, RI 028181465
Phone: (401) 471-6740
Type: Location
268, Post Road, Dunns Corners, Westerly, South County, Rhode Island, 02891, United States
WESTERLY, RI 028916600
Phone: (401) 604-2500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-04-21
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 |
|---|---|---|---|---|
| I20160421001541 | I | Physician Assistant | RI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 100 | 98 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 84 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 44 | 44 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 44 | 44 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 37 | 37 | $0 |
Insurance plans in this area (ZIP 02880)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | RI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Nurse Practitioner | RI | |
| - | RI | |
| Physician Assistant | NJ | |
| Internal Medicine, Pulmonary Disease | RI | |
| Radiation Oncology | RI | |
| - | RI | |
| Physician Assistant | MA | |
| Nurse Practitioner | RI | |
| - | RI |
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